Travel Nurse RN - ICU - Intensive Care Unit
Houston, TX
Voca Healthcare
4x12 hrs, Nights

Shift: 12H Nights 7p-7a; EOW Unit Notes:Daily Parking is $15+/day. Multiple options for on/off campus garages and lots ranging from $95 - $120 for monthly parking pass.RN's need to be open to Floating!Busy/Large Level 1 Trauma Candidates need to be flexible on scheduling - no self schedulingEOW requiredEPIC requiredSuccessful placements here have 3+ years exp, pervious travel exp. and have worked in a very busy hospital in the past. # of Beds12, SICU (6CA)Nurse:Patient Ratios1:2, 1:3 depending on downgrade/acuity/emergency admit (infrequent when staffed)Required Certifications (i.e., BLS, ACLS)BLS, ACLS, NIHSSCommon diagnoses/Types of patientsLiver/kidney transplant, vascular surgeries like endardectomies and fem/pop bypass, ENT for cancer, facial flaps, throat cancer resection, complicated throat/esophageal infections that compromise airway, abdominal surgery like colectomy, ex-laps, abdominal aneursym, mastectomy, deep tissue flapsExperience or 'Must have' skillsearly recognition of change in patient condition, clear communication and escalation with providers, critical thinking skills, CRRT, hemodynamic monitoring, chest tubes, ventilator, various drains/surgical sitesAre RNs required to titrate dripsyesCommon titratable &/or set rate dripsvasopressin, epinephrine, levophed, heparin, dobutamine, dopamine, versed, hydromorphone, fentanyl, ketamine, nimbex, esmolol, cardeneIs there a Charge Nurse on each shift Does the charge nurse take an assignmentyes; preference is free charge but depends on staffing, right now taking full assignmentAre there nurse aids/patient care techs on this unit Ratios Dutiesintermittent, dependent on census, 1:12 when present. Patient ADL's, blood glucose checks, transport assist Hospitalist &/or Intensivist in house 24/7 In the ICU 24/7yes, intensivist on unit days and/or nights, APP's on unit 24/7RT in ICU 24/7yesRT Equipment (Vents, Cpap, BiPap, High Flow, etc.) Are RNs required to do anything with these besides trouble shootnot reallyAre there Tele/Monitor Techs on this unit Are RNs required to read their own strips What brand are the tele monitorsno techs, yes, RN reads strip - Phillips monitorsShifts & Scheduling (Do you allow self-scheduling Block scheduling) Scheduled based on unit needsWeekend Requirements4-6 days in 6 weeks depending on coverageHoliday Requirementsplease check with Larkin on this oneIs there a call or standby requirementmay be flexed off if census is low, not usually a problem. Standby only if unit closes for low census, again, not usually a problem maybe once/year if thatFloating Requirementsfirst to float, then OT floats, then remainder of staff. Float to other ICU's within hospital, skill set will be considered for assignmentScrub Color/Dress Codeteal bottoms, black or printed coordinating scrub top, no fleece jackets. No shellac, dip, or acrylic nails, no overlays. Unchipped regular nail polish is allowed. Professional and identifiable as nursing staffHow many shifts of unit/department specific orientation2 Cancellation Policy:4 shifts per 13 assignment, 3 shifts for assignments less than 13 weeks. Charting System:EPIC BSN Required:No License to Submit:Yes, willing to wait Trauma Level:1 Care Setting:Acute Division: Shift Notes:7p-7a; EOW Required Certifications:ACLS, BLS Certification, NIHSS Guaranteed Hours: 48 hours per week