Travel Nurse RN - ICU - Intensive Care Unit
North Platte, NE
Malone Healthcare - Nursing
3x12 hrs, Days
Referral Bonus

🏥 Department Overview

Unit Type: Mixed Critical Care (ICU / PCU / MedSurg)
Total Beds: 32

👩‍⚕️ Nurse-to-Patient Ratios

• ICU: 1:2
• PCU: 1:4
• MedSurg: 1:5

⚠️ Note: There may be shifts with no true ICU patients — nurses must be comfortable taking PCU or MedSurg assignments.

📋 Patient Population & Common Diagnoses

• Heavy Cath Lab cases:
  • Coronary angiograms & stenting
  • Peripheral angiograms & stenting
• Sepsis
• Neurosurgery patients
• Drug & alcohol withdrawal
• COPD
• CHF

ICU Acuity

• Occasional IABP
• Occasional Impella (higher acuity usually assigned to core staff)
• Occasional pediatric patients (assigned to core staff)

✅ Required Certifications

• ACLS
• BLS
• NIHSS

🎯 Experience Requirements

• First-time travelers accepted
• ICU background preferred
• If no ICU, must have strong PCU experience
• Must be comfortable:
  • Titrating drips
  • Managing ICU, PCU (1:4), and MedSurg (1:5) assignments

💉 Drip Experience Required (Titration Required – YES)

ICU Drips:

• All common critical care drips

PCU Drips:

• Cardizem
• Insulin
• Pressors / Inotropes
• Heparin
• Lasix
• Bumex

👥 Unit Support Structure

• Charge Nurse: 1 per shift (takes patients only if necessary)
  • Responds to all codes/rapids
• House Supervisor: Handles bed placement/control
• Hospitalist: In-house 24/7
• Some PCPs follow patients
• ❌ No intensivist

🩺 Support Staff

• Techs/Aides: 1:8–16 (census dependent)
• Respiratory Therapy: In ICU 24/7
• RT Equipment Available:
  • Vents
  • CPAP
  • BiPAP
  • Heated High Flow (OptiFlow)

📡 Telemetry

• Tele tech located in ICU
• Monitors:
  • 3rd floor
  • 4th floor
  • Some ER patients
• RNs must interpret strips during assessments
• Telemetry system: Phillips

⏰ Scheduling

• 12-hour shifts:
  • 5:45 AM – 6:00 PM
  • 5:45 PM – 6:00 AM
• Core staff scheduled first, agency fills gaps
• Schedule posted in 6-week blocks (2 weeks in advance)

📅 Weekend Requirement

• At least every other weekend (often most weekends)

🎄 Holiday Requirement

• As needed (travelers typically included)

📞 Call Requirement

• None

🔄 Floating

• No floating outside of this mixed unit

👕 Scrubs

• Royal Blue

📚 Orientation

• Week 1: Hospital orientation (M–F)
  • EPIC training
  • Basic skills
  • Manager expectations
• Unit-specific: 2 shifts

📍 Radius Rule

• Cannot reside in North Platte