Travel Nurse RN - ICU - Intensive Care Unit
Fremont, NE
BHS Workforce
3x12 hrs, Nights
Referral Bonus

Travel RN – Mixed ICU / Medical-Surgical Telemetry
Specialty: Mixed ICU / Medical-Surgical Telemetry
Shift: Nights, 3x12-hour shifts
Shift Time: 6:45 PM – 7:15 AM
Guaranteed Hours: 36 hours per week
Contract Length: 91 weeks listed in requisition
EMR: Cerner
Patient Population: Adult acute care and critical care
Required Certifications: BLS, ACLS
Scrub Color: Pewter Gray (Cherokee brand reference)
 

Position Overview

Seeking an experienced Travel Registered Nurse for a unique mixed ICU and Medical-Surgical Telemetry unit. This assignment is approximately 50% ICU and 50% Med-Surg/Telemetry, requiring a nurse who is comfortable caring for both progressive medical-surgical patients and critically ill patients.

Candidates must have strong telemetry skills, including rhythm interpretation, management of cardiac drips, and the ability to titrate medications. ICU experience with ventilator management, vasopressors, sedation, and arterial lines is essential.
 

Required Qualifications

• Active RN license required at submission.
• Current BLS and ACLS certifications.
• Strong Medical-Surgical Telemetry experience.
• Ability to interpret cardiac rhythms and manage telemetry patients.
• Experience with titratable and set-rate cardiac drips.
• ICU experience with:
  • Vasopressor and sedation drip management
  • Ventilator management in collaboration with respiratory therapy
  • Sepsis management
  • Arterial line monitoring
• Cerner charting experience preferred.

Unit Overview

This is a mixed unit with approximately 50% ICU and 50% Medical-Surgical/Telemetry patients.

Medical-Surgical / Telemetry

• Third floor: 24 beds.
• Fourth floor: 10 beds.
• Common diagnoses include orthopedic conditions, post-cath and pacemaker patients, CHF, COPD, diabetes, pneumonia, NSTEMI, oncology, and COVID-19.
• Chemo-certified nurses administer chemotherapy.
• Day ratio: approximately 1:4–5.
• Night ratio: approximately 1:5–6.
• Patient care technicians: approximately 1:8 on days and 1:10 on nights.

ICU

• 8 ICU beds.
• Common diagnoses include DKA, sepsis/shock, alcohol withdrawal, acute respiratory failure, and acute Afib/RVR.
• ICU ratio: 1:2.
• PINS ratio: 1:3.
• Hospitalist coverage and eICU support available.
• Respiratory therapy is available in-house 24/7.

Clinical Skills & Medication Management
 

Telemetry / Medical-Surgical

• Cardiac rhythm interpretation and monitoring.
• Heparin and Lasix titration.
• Management of set-rate Dobutamine, Amiodarone, Cardizem, and Lopressor.
• Oxygen administration and stable CPAP/BiPAP troubleshooting.

ICU

• Vasopressor and sedation drip titration.
• Dobutamine, Amiodarone, Heparin, Cardizem, and Lopressor management.
• Ventilator management with respiratory therapy support.
• Arterial line monitoring.
• Sepsis and shock management.
• Multimodal sedation management.

Schedule & Assignment Details

• Night shift, 6:45 PM – 7:15 AM.
• Three 12-hour shifts per week.
• 36 guaranteed hours weekly.
• Every other weekend required.
• Holidays rotate with core staff.
• No mandatory call or standby; travelers may volunteer for call.
• Floating may be required to the fourth-floor Med-Surg unit or other designated Med-Surg areas.
• Block scheduling may be accommodated depending on unit staffing needs.
• Additional shifts are typically available.
• Schedule is created by the scheduler, who considers traveler requests.

Orientation & Support

• One 12-hour orientation shift for Med-Surg.
• One to two 12-hour orientation shifts for ICU, depending on assignment needs.
• Charge nurse available on each shift; ICU charge nurses are ICU-trained and do not take patient assignments.
• House supervisor coverage is available every night and on weekend/holiday day shifts.
• Central telemetry technicians monitor rhythms and enter strips for RN review. RNs must independently visualize and document rhythm details in Cerner.
• Respiratory therapy manages ventilator applications and oxygen-source titrations.