Travel Nurse RN - ICU - Intensive Care Unit
Billings, MT
TotalMed RN
3x12 hrs, Nights
Referral Bonus

UNIT: ICU
Beds: 28 MICU + 10 SICU
Census? Average patients/day? 26
Minimum Years of Experience required? 2 years ICU experience
Will you accept a first-time traveler? Yes

Skills required:
Neuro checks, seizures, cardiac rhythm interpretation and treatment of abnormal rhythms, art lines, post-cardiac arrest care, vented patients (troubleshooting vents, RT available 24/7), non-invasive ventilation, chest tubes, ABG interpretation, trachs, codes, critical drip initiation and titration, foley insertion/care, NG tube insertion/care, IV insertion
Soft skills: good teamwork, good attitude, punctual, professional
CRRT, ECMO, ultrasound guided IV placement experience not required (on site competency required)

Required License, National Certification, Certs:
BLS, ACLS, NIHSS
CCRN preferred

Patient Types/Common Diagnoses:
General Medical ICU (DKA, sepsis, respiratory/kidney/liver failure, pancreatitis, GI bleeds, PE, CIWA, CHF, COPD, rhabdo, cellulitis, end of life), Neuro (CVA, hemorrhage, seizures/epilepsy, meningitis, spinal cord injury, encephalopathy, cranies, spinal surgeries, EVDs, ICP monitoring), Cardiovascular (MI, ACS, cardiogenic shock, myocarditis, arrythmias/dysrhythmias, cardiac arrest, aortic dissection, post-cath, temp pacer, endovascular surgeries, IABP, Impella, DVT), post-op complications, any Level I Trauma

Patient Ratios:
1:2-3 (i.e. 2 ICU and 1 boarder patient). 3 can be occasional and is dependent on overflow, boarders, and acuity. Co-managed care is 1 ICU RN/1 Non-ICU RN to 3-5 patients (atypical but is possible

Technology/Equipment:
EMR: Cerner – highly preferred
IV Pump: Alaris
Med dispensing: Omnicell
Monitors: Phillips
Unit specific equipment: Stryker beds, Neuroptics pupillometry, in-room and Hoyer lifts, bladder scanner, Philips Sonosite for IV ultrasound, PrismaFlex CRRT, Impella, Arrow IABP. Will need to be checked off on higher acuity equipment before managing

Support within the Department:
CNA
HUC available part time
Charge nurse – also functions as CPR captain
RT 24/7
Hospitalist 24/7
Intensivist 24/7
MD and DNP/PA Residents
In-unit Tele clerk
On-unit pharmacist during the day
PT/OT/SLP during the day
Manager, 2 Clinical Coordinators

Floating: If yes, where?
Yes, will routinely float between MICU and SICU sides of ICU. Could also float to CVU, Intermediate Care (critical care division), then MedSurg division. Ratio would be 1:3-4

Weekend rotation: up to 4 weekends in 8-week schedule
On call? No
Holiday Expectations: Could be placed in holiday rotation
Approval of RTO: to go through manager. Must be able to work contract hours per week.
Shift trades are allowed as long as hospital guidelines are followed and shifts are confirmed covered.

Scrub Color: Any solid color, no graphics, logos, designs, denim or camo.
Parking: General badge-access employee parking is available on campus. Free street parking. Be advised that unauthorized parking may result in boot/towing