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

Unit: ICU 

Experience Required: 2 years ICU. Strong Peripheral IVs (preferred), Cardiac Rhythm Interpretation, Invasive Line Management (CVP, Alines), IV Medication Titration, Vent/trach/high-flo BiPap Management (RT does manage these devices, but knowledge of them is expected)
2-years minimum experience in the ICU
No 1st time travelers

Certs Required: BLS, ACLS, NIHSS, Active WA/Compact license. 
Floating to other departments happens in turn (Medsurg, ER, occasionally Mother baby but only to take care of post GYN surgical patients- no labor and delivery) ICU nurses taking an assignment in the PCU is not considered floating.

Combined ICU/PCU Unit:
-  ICU 1:2, PCU 1:4
- 10 ICU patients, average census of ICU patients is around 5. Manually proning, intubated, paralyzed patients, multiple drips.
- Expect to be on the  PCU if low ICU census
- 22 PCU Beds
- ICU nurses will care for PCU patients 
- PCU nurses are not required to take ICU patients

Patient Types:
- Sepsis, Pneumonia, COPD, CHF, GI Bleeds, ETOH/IVDA, SI, Psych, COVID
- Neuro: Stable CVA (no interventions) Will do TPA at times, TBI (stable)
- CVICU: Pacemakers, Angiograms, Post Cath (TR Bands Radial and Femoral), Fem-Pop Bypass, Pacemaker Insertion
- Surgical Patients: Ortho, General Surgery
- Manual Proning, Temporary Pacemakers
- No Open Hearts, No Neuro intervention, HD (ICU RNs will be trained to do dialysis (short runs), No CRRT
- Travelers are not expected to care for: Balloon Pumps, Hypothermia Protocol (unless they are comfortable)

CNA (Ratio 1:8-10 days, 1:10-12 nights)
Charge nurse: Attempt to keep charge nurse as free-floating, but charge nurse will take a partial patient assignment, depending on staffing
Phlebotomy will do peripheral draws
You may be asked to assist with COVID peripheral draw, if you are already in the room. When phlebotomy is short staffed, RN to complete blood draws.
Nurses are responsible for their own central line draws
RT, Hospitalist in house 24/7
Intensivists on call 24/7 (may be in the building)
HUC 24/7
Centralized Monitoring with Tele tech 24/7