ICU Registered Nurse
Kearney, NE
Malone Healthcare - Nursing
3x12 hrs, Days
Referral Bonus

🚫 Submission & Eligibility Rules

• 50-mile radius rule enforced
  • Driver’s license required at submission (used to verify distance)
• ❌ Candidates cannot currently work (FT/PT/PRN) for:
  • CommonSpirit
  • CHI
  • Dignity Health
• ❌ No duos requesting same schedule or sharing transportation
• ❌ Block scheduling not allowed (unless possibly weekends-only)

💅 Facility Policies

• Artificial nails are strictly prohibited
  • Refusal to remove = contract termination

📝 Orientation Requirement (Critical)

• 📚 Pass/Fail exam
  • Given during orientation (Wednesday)
  • ✅ Open book
  • ❗ Must score 90% or higher or contract is terminated

🏥 Unit Overview – ICU

• Beds: 33
• Average Census: 16
• Ratios: 1:2–3 (ICU level)

🧑‍⚕️ Patient Population

• Trauma
• Cardiac (post-stent, pacemakers)
• Stroke
• Sepsis
• Respiratory distress
• Renal failure
• Heart failure
• Overdose / substance abuse
• Vascular cases

💉 Clinical Expectations

• ✅ Must titrate drips
  • Cardiac drips
  • Insulin
  • Sedation
• ✅ Ventilator awareness
  • From nasal cannula → full vent
  • Mainly troubleshooting responsibilities

👥 Support Staff

• Nurse aides (based on census)
• Sitters for 1:1 patients
• Healthcare support tech:
  • M–F, 0800–1630

🖥️ Monitoring

• Telemetry required
• RNs must:
  • Read
  • Interpret
  • Document strips
• Monitor system: GE
• Tele tech support available

🔄 Floating

• Typically to:
  • PCU
  • Occasionally Med-Surg
• Ratios when floating:
  • 1:4–5 patients

🕒 Schedule

• Shifts:
  • Days: 0630–1830
  • Nights: 1830–0630
• Travelers:
  • Added into schedule (no self-scheduling guarantee)

📅 Weekend / Holiday

• Weekends: Every other (Sat & Sun)
• Holidays: Minimum 2 required per contract

⏱️ Call Policy

• If on call and called in:
  • Must arrive within 30 minutes

🧭 Orientation

• Only 1 unit-specific shift
  • (very short → must be confident/independent quickly)

🛑 Time Off Policy

• Max 7 days RTO per 13-week contract
• Must be submitted upfront
• ❌ No additional RTO approved after submission

⚡ Quick Takeaways

• Fast-paced ICU with high-acuity, mixed patient population
• Strong emphasis on:
  • Drip titration
  • Telemetry interpretation
• Strict compliance culture (exam, nails, scheduling rules)
• Minimal orientation → best for experienced ICU travelers
• Not traveler-flexible (limited scheduling accommodations)