Travel Nurse RN - NICU - Neonatal Intensive Care
Billings, MT
TotalMed RN
3x12 hrs, Days
Referral Bonus

Unit Overview

• Level IIIb NICU
• 14 private suites, 19 licensed beds
• Average daily census: 7.4 patients
• Minimum 2 years of NICU experience required
• Level III or Level IV NICU experience highly preferred
• Level II NICU experience may be considered
• First-time travelers welcome
• Manager interview required

Requirements

Licensure & Certifications

Required:

• BLS
• NRP

Preferred:

• PALS
• STABLE

Patient Population

This Level IIIb NICU cares for newborns 25 weeks gestation and older and provides advanced neonatal care, including:

• Respiratory distress/failure
• Prematurity and low birth weight infants
• Transient tachypnea of the newborn (TTN)
• Post C-section newborns
• Neonatal sepsis
• Neonatal Abstinence Syndrome (NAS)
• Seizure disorders

Advanced therapies include:

• High Frequency Oscillatory Ventilation (HFOV)
• Nitric Oxide Therapy (iNO)
• Therapeutic Hypothermia (Full Body Cooling)

Physician & Specialist Coverage

• Neonatologists available 24/7
• Neonatal Intensivists available 24/7
• Multiple pediatric subspecialties available
• No pediatric surgery services onsite

Patient Ratios

• 1:2-3, based on patient acuity

Required Skills

Candidates should be proficient in:

• NRP protocols
• Blood glucose monitoring
• Phototherapy
• Breastfeeding support and breast milk handling
• Bottle, breast, and gavage feedings
• Oral, NG, and NJ tube placement and management
• Neonatal sepsis workups
• Starting and maintaining IVs
• UAC/UVC management
• Antibiotic and antiviral administration
• Anti-seizure medication administration
• IV vasopressor administration
• Neonatal medication dose calculations
• Assisting with lumbar punctures
• NAS scoring and management
• Bubble CPAP
• High-flow nasal cannula (HFNC)
• Suctioning
• Chest tube management

Preferred Skills

• Insulin administration
• NEC recognition and management
• Blood product administration
• Arterial line management
• Central line care and blood draws
• ICP monitoring
• Therapeutic hypothermia
• VP shunt management
• High-frequency ventilation
• Nitric Oxide (iNO)
• Oscillator management
• Ventilator management

Unit Support

The NICU is supported by:

• Charge RN
• Unit Clerks (Days)
• Respiratory Therapists (24/7)
• Neonatologists (24/7)
• Neonatal Intensivists (24/7)
• CNA Support
• RN Case Manager
• Social Worker
• Nursing Professional Development Specialist (Unit Educator)
• Nurse Manager

Technology & Equipment

EMR: Cerner
IV Pumps: Alaris
Medication Dispensing: Omnicell
Monitors: Philips