MICU RN
Battle Creek, MI
RadHealth+
3x12 hrs, Nights
Referral Bonus

Requirements

• 1+ year of recent ICU experience
• First-time travelers accepted
• Michigan RN License – pending license accepted; must provide a concrete ETA at submission and proof of application
• BLS (AHA)
• ACLS (AHA)
• NIH
• Holidays are required
• No RTO during the first 2 weeks of the assignment

Patient Ratios

• Overall ratio: 1:1–4, based on acuity
• PCU/General Med/Transfer status: up to 4:1
• PCU: 4–3:1, based on acuity
• ICU/PCU mix: 3:1, based on acuity
• Ventilated patients: 2:1
• Cooling/CRRT/High Acuity: 1:1
• Average of approximately 3 ventilated patients per day
• ICU physicians may keep lower-acuity patients in the ICU when they determine the patient should remain under ICU care. Stable patients may be assigned in groups of 3–4 in these situations.

Schedule

• Weekend: Every other weekend
• Float: Will float to other ICU and Med/Surg units as needed
• Agency RNs float in rotation with Bronson MICU RNs to Med/Surg units when ICU census flexes
• Typical Med/Surg ratios: approximately 1:5–7

Patient Population

• COPD
• Encephalopathy
• Drug overdose
• DKA
• AKI
• Respiratory failure
• Cardiac arrest
• Heart failure
• A-fib

Special Procedures

• CRRT
• Hemodialysis (HD)
• Arterial line placement
• Central venous catheter (CVC) placement
• Trach placement
• Chest tube placement

Special Equipment

• Cooling machine
• Bair Hugger
• Massive transfusion equipment
• CRRT

Required Skills

Cardiac Monitoring & Emergency Response

• Interpretation/management of dysrhythmias
• Multisystem organ failure

Endocrine/Metabolic

• IV insulin protocols

Gastrointestinal

• GI surgery

Genitourinary/Renal

• Acute/chronic renal failure
• CVVHD/CRRT

IV Therapy

• Arterial line management
• Blood product administration
• Central line care/management
• PICC line management
• Starting IVs

Medications

• Continuous IV sedation
• Emergency medications
• Procedural sedation administration
• Titration of cardiac drips
• Titration of vasoactive drips

Neurological

• CVA/acute stroke management

Respiratory/Thoracic

• BiPAP management
• CPAP management
• Care of ventilated patients
• HFNC
• ABG interpretation
• ETT/NT suctioning
• Ventilator management