Travel Nurse RN - ICU - Intensive Care Unit
Omaha, NE
Care Career
4x12 hrs, Nights
Referral Bonus

ICU RN – Med-Surg ICU Job Breakdown

Strict Requirements

48 Guaranteed Hours/Week

1. Position Details

• Job Title: Registered Nurse – Med-Surg ICU
• Department: Medical-Surgical Intensive Care Unit
• Shift: Night Shift
• Shift Timing: 6:30 PM – 6:30 AM
• Schedule: 12-hour nights
• Guaranteed Hours: 48 hours per week
• Contract Duration: 13 weeks
• Number of Beds: 34
• Trauma Level: Level I
• Care Setting: Acute Care
• Charting System: EPIC
• BSN: Not required
• License to Submit: Yes

2. Mandatory Experience Requirements

Hard Requirement

• Minimum 2 years of recent ICU experience.
• Must have experience working in a fast-paced ICU environment.
• Must be comfortable caring for critically ill adult patients.
• Pediatric experience for patients over 15 years old may be relevant.
• Must have strong critical-thinking and clinical judgment skills.

Important: Med-Surg floor experience alone is NOT sufficient. The candidate must have recent ICU experience.

3. Required Certifications

All three certifications are mandatory:

• BLS – Basic Life Support.
• ACLS – Advanced Cardiovascular Life Support.
• NIHSS – National Institutes of Health Stroke Scale.

4. Patient Population & Diagnoses

The ICU treats adults and pediatric patients over 15 years old.

Common diagnoses include:

• Respiratory failure.
• ARDS (Acute Respiratory Distress Syndrome).
• MODS (Multiple Organ Dysfunction Syndrome).
• Sepsis.
• Stroke.
• Cardiogenic shock.
• Renal failure.
• General surgery.
• Psychiatric cases and overdose.
• GI bleeding.
• Cancer-related surgeries.
• Esophagectomy.

5. Required Clinical Skills

The RN should be comfortable with:

• ICU patient monitoring.
• Titrating IV drips.
• Vasopressors.
• Sedation medications.
• Paralytics.
• Narcotics.
• Antiarrhythmics.
• Ventilator management and troubleshooting.
• Reading and interpreting cardiac rhythms.
• Critical patient assessments.
• Responding to rapid response teams (RRTs) and codes.

Additional equipment exposure:

• CVP monitoring.
• Arterial lines (A-lines).
• Swan-Ganz catheters.
• EV-1000.
• ICP monitoring.
• Zoll Thermogard.
• Belmont rapid transfuser.
• CRRT.
• Impella and balloon pump.

Some specialized equipment experience is not mandatory. The facility can provide real-time training.

6. Nurse-to-Patient Ratios

• ICU: 1:1–2
• PCU: 1:4–5
• Med-Surg: 1:5–6
• Nursing assistants/PCTs: 1:18

7. Shift & Scheduling Requirements

• Night shift: 6:30 PM – 6:30 AM.
• 12-hour shifts.
• Every other weekend required.
• Holiday requirement: 2 out of 3 major holidays, every other holiday, or as needed based on unit requirements.
• Manager prepares the schedule according to unit needs.
• Self-scheduling/block scheduling is not guaranteed.
• Floating is required to all inpatient units except Maternity and NICU.

8. Facility Requirements & Policies

Important – Strict Compliance

50-Mile Radius Rule

• Candidate must live outside the 50-mile radius.
• Driver's license is mandatory at submission.
• Driver's license address will be used to verify the candidate's distance.

CommonSpirit Employment Restriction

Candidates cannot currently work as:

• Full-time employees.
• Part-time employees.
• PRN employees.

This restriction applies to any facility associated with:

• CommonSpirit Health.
• CHI.
• Dignity Health.

Fingernail Policy

• Artificial nails are prohibited in all patient-care departments.
• Refusal to remove artificial nails can result in contract termination.

Scrub Color: Navy Blue.

9. Orientation & Examination

• Unit-specific orientation: 2 shifts.
• RN must complete a Pass/Fail exam on Friday during orientation.
• Open-book examination.
• Resources are provided.
• Minimum passing score: 90%.
• Failure to achieve 90% will result in contract termination.

10. RTO & Cancellation Policy

• RTO must be submitted upfront.
• Maximum 7 days of RTO per 13-week contract.
• Additional RTO will not be approved, including after submission.
• Hospital can cancel up to 4 shifts per 13-week assignment.
• For assignments shorter than 13 weeks, hospital can cancel 3 shifts.