Travel Nurse RN - PICU - Pediatric Intensive Care
Kalispell, MT
TotalMed RN
3x12 hrs, Nights
Referral Bonus

UNIT: PICU 
SIMPLIFI Interviews WITH MANAGER APPROVAL

Unit Information:
Beds: 18 beds total - 6 bed PICU, 12 MedSurg Peds; interchangeable.

Minimum Experience required: 2+ years PICU experience. If traveler went straight into PICU out of school, need minimum 3 years.

first-time traveler: 
No

Patient Types/Common Diagnoses:
Respiratory: high flow, CPAP, BiPAP, vent, fresh and established trachs, RSV, asthma, Covid, flu
Medical: MIS-C, new onset diabetes with insulin drips, chronically ill, oncology (will not give chemo)
Surgical: appys, g-tubes, ENT, bowel obstruction, broken bones
Trauma: falls, MVAs, drownings, ski accidents, only pediatric neurosurgeon in MT
Neuro: EVDs (required), shunts, bolts, cranies, Chiari malformation, epilepsy, seizures, 24h EEGs. Only pediatric neurosurgeon on MT here
Cardiac: no cardiac surgeries or interventions. Will see medically managed congenital defect, abnormal rhythm.
No dialysis, CRRT, ECMO, transplants, major burns

Patient Ratios:
PICU: 1:1-2
Peds MedSurg: 1:3-4

Required Certs:
BLS, PALS

Skills required:
Experience with above patients
Starting IVs, foleys, dressing changes, wound vacs, vent/trach management, suctioning, G/GJ tube management, tube feeds, chest tubes, epidurals, PCAs, critical drip management, discharging skills
Will work PICU and MedSurg peds both
If low census in PICU, could be working independently (charge RN PICU trained).

Support within the Department:
No CNA, but HUC can help with CNA duties if not busy
HUC
Charge nurse – typically will not take patients unless high census
Will typically draw own labs unless older child, then phlebotomy can come
PICC Team during the day
RT 24/7 - NICU/PICU assigned
Pediatric Hospitalist in house 24/7
NNP here 24/7, Neonatologist on call at night
Pediatric transport team for air and ambulance
House Supervisor

Technology/Equipment:
EMR: Meditech
IV Pump: Baxter
Med dispensing: Pyxis
Syringe pumps: Medfusion
PCA: Alaris
Floating: If yes, where?
Could float to NICU and Postpartum for lower acuity patients. If floating to Postpartum, could care for couplets (mom and babies). Couplets are 6+ hours post-delivery. Will only care for stable couplets. NO laboring moms.
Can get extra orientation if floating here
Orientation (facility and unit):
NEO – on Tuesdays
1 shift on the unit; ok with an additional shift if needed

Scheduling:
Schedule cycle: self-scheduling for 6-week schedule. Requirement is for 5 weekend shifts in a 6-week schedule.
Weekend rotation: 5 weekend shifts required in a 6-week schedule
On call? None
Holiday Expectations: Will be assigned “holiday group”: 1 summer/1 winter holiday. Will be day before and day of holiday.
RTO: To go through manager
Shift times: 0700-1930 or 1900-0730

Scrub Color: 
Any color scrubs, “child friendly”, no graphics or designs unless child friendly designs. Jackets and vests ok

Parking: 
Free, parking lot