Travel Nurse RN - ICU - Intensive Care Unit
Yuma, AZ
Malone Healthcare - Nursing
3x12 hrs, Days
Referral Bonus

JOB: ICU.

Start Date:

Start Dates are not flexible.

100-mile radius rule.

Epic EMR proficiency required and recent.

No 48-hour guarantees.

No blocked scheduling requests.

No more than 5 days of RTO.

Trauma level I/II of recent hospital experience required.

NURSE PATIENT RATIOS: 1:1 or 1:2 (MedSurg ICU).

If no vents/drips 1:3.

• # of Beds: 42.

• Required Certifications: BLS, ACLS, NIHSS.

• Common diagnoses/Types of patients: Cardiac-open heart, balloon, impella, tPA, TPE, core staff will do the specialties; keep small head bleeds, post tpa administration-if intervention-flown to Phoenix; Level 3 trauma- keep here.

Not necessary to have trauma exp=core staff that MUST HAVE vent, sedation, sepsis, pressors , DKA, cardiac, CHF, respiratory.

• Are RNs required to titrate drips: Yes.

• Common titratable &/or set rate drips: Below is a list of common drips for this ICU.

Please make sure traveler has well rounded experience with a variety of critical ICU drips.

> Vasopressors: Epi, levophed, Phenylephrine, vasopressin.

> Inotropes: dopamine, dobutamine, primacor.

> Antiarrhythmics: amiodarone, cardizem, esmelol, lidocaine, procainamide.

> Anti-hypertensives: Clevidipine, labetalol, cardene, Nipride, nitro.

> Beta Adrenergic: Isuprel.

Sedatives: Ketamine, Precedex, propofol, Versed.

Paralytics: Vecuronium, Nimbex, rocuronium.

> Analgesics: Fentanyl, morphine.

Anticoagulants: Aggrastat, tPA, Argatroban, Heparin, Integrilin.

> Additional: Insulin.

• Is there a Charge Nurse on each shift: Charge-free on both shift-go to codes, condition help (RRT).

• Are there nurse aids/patient care techs on this unit: PCA's.

Ratios typically 1-10.

PCA's can assist with: EKG, Blood sugar, procedures set up, I/O, ADL, lab draws (they are phlebs as well).

• Hospitalist &/or Intensivist in house 24/7: Intensivist 24 hours/day.

Days: 2 MD's and 1 NP.

Nights: 1 NP/1 MD.

• RT in ICU 24/7: Yes, RT will do vents settings, intubate, and all abgs.

• RT Equipment: Vents, Cpap, BiPap, High Flow.

RT and RN will assist MD with bedside trachs.

• Are there Tele/Monitor Techs on this unit: USR- Unit support person- does unit clerk and monitors tele.

Have centralized tele monitoring, in each nurses station.

Monitor in rooms as well.

• Shifts & Scheduling: 6:45-7:15 (3 min before and after grace period to clock in and out) MUST CLOCK OUT FOR LUNCH.

Self-schedule, 4 requested days off in a 4 week period, blocks not guaranteed, but try to work with traveler as much as possible to accommodate requests.

• Weekend Requirements: 4 weekend shift days in 4 week period required.

• Holiday Requirements: 2 major holidays required.

Only require the holiday (not the eve) if Xmas.

• Is there a call or standby requirement?: No.

• Floating Requirements: Yes, float to other units, only 4 patients instead of 6 patients though.

• Scrub Color: Navy Blue.

• How many shifts of unit/department-specific orientation: One day NEO, one day with educator skills, competencies, procedures, one-day orientation on the floor.