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

Unit: Registered Nurse - ICU
Years of experience: 2 years of ICU experience
Will you accept a first-time traveler? Yes
 
Required License, National Certification, Certs: BLS, ACLS, NIHSS, TNCC
 
Patient Types/Common Diagnoses:
Will float between these areas and anywhere in the hospital within scope of practice
3rd Floor: Medical/Surgical (44 Beds)
Medical patients: COPD, CHF, Sepsis, AKI/CKD, DVT, PE, cellulitis, pancreatitis, ETOH
Surgical/Ortho: total joints (knees/hips), GI (exploratory lap, hemicolectomy, bowel resection), GU (TURP, cystos, CBI), GYN (total/partial hysterectomy), podiatry, ENT
Telemetry capable: tele tech in addition to bedside monitoring
2nd Floor: Acute Respiratory Floor (16 Beds):
COPD, pneumonia, CHF, and other respiratory patients
High flow and BiPap
RT office is next to this unit, and ICU is also next to this unit for quick response on declining patients.
1st Floor: ED/MS Overflow:
Observation and general MedSurg
Progressive Care (combined with ICU 10 beds):
The progressive care beds are inside of the Critical Care Unit. 
Afib RVR, q4h checks, medical and surgical progressive care patients, no cath lab patients, no major cardiac surgeries, no major neuro surgeries, no major traumas
Intensive Care (combined with PCU 10 beds):
Vents, Sepsis, Respiratory failure, No Neuro on this unit, no cardiac patients requiring intervention (patients needing Cath lab will go to Sister Facility)
 
Patient Load:
MedSurg: 1:5
PCU: 1:3, no CNA support
ICU: 1:2-3 dependent on acuity, no CNA support
 
Support within the Department:
No CNAs in ICU/PCU, but will have CNAs on other units
IV/VAT Team? IV therapy on day shift
RT 24/7
Hospitalist- in house 24/7
Intensivist available on days.
Will come from Deaconess and has tele ICU camera at bedside.
Charge RN may have partial patient assignment but available to be a resource
OT, PT, SLP during days
Rapid Response/Code Team
Centralized Tele monitoring with techs 24/7 for MedSurg/PCU patients

Technology/Equipment:
EMR: EPIC experience required
IV pumps: ICU Plum Medical
Med dispensing: Pyxis
 
Skills required:
Vent management, airway management, high flow O2, chest tubes, peripheral IV starts/maintenance, wound care/dressing changes, wound vacs, drains (JP, hemovacs), nephrostomy tubes, pain management, PCA, central line management, cardiac rhythm interpretation
Drips: Heparin, amiodarone, Cardizem, nitro, pressors, other critical drips
EPIC experience

Floating:
Will float within scope of practice and take patient assignments throughout hospital anywhere there are ICU, PCU, or MedSurg patients
Could float into ED to act as a helping hand
 
Orientation (facility and unit):
NEO
2 shifts on the unit
Will be required to pass cardiac rhythm interpretation exam in compliance prior to start

Scheduling:
Weekend rotation: every other weekend
Holiday Expectations: 1 holiday per contract
RTO: up to 7 days
Shift times: 1900-0730, 0700-1930
Breaks and 30-minute meals are mandatory
Schedule cycle: every 6 weeks, will receive 2 weeks prior schedule release
 
Scrub Color: 
Shift safety huddle at the start of every shift
Scrub Color: Any solid color, professional. No graphics, logos, or designs.
Parking: Free