ICU RN
Hastings, Nebraska
Mary Lanning Memorial Hospital

ICU RN

Overview

• Role: ICU RN
• Specialty: ICU
• Location: Hastings, Nebraska
• Contract length: 13 weeks
• Shift: Nights, 12 hours

Required Qualifications

• BLS
• ACLS
• NIHSS
• 1 year of experience, with experience with vents
• Experience with:

  • vents
  • art lines
  • PICC lines
  • ports
  • chest tubes
  • drains
  • wounds
  • ostomies
  • OG
  • NG
  • PPE
  • identifying arrhythmias
  • Cardioversions
  • TEEs
  • post heart cath patients
  • defibrillator
  • pain management
• RNs are required to titrate drips

Unit Details

• ICU has 10 private beds
• ICU and PCU are on the same floor
• Typical nurse-to-patient ratio is 1:2, sometimes 1:3 if low acuity
• The floor generally staffs 15–18 patients total across ICU and PCU
• At least 2 ICU RNs are on shift
• Charge nurse takes patients
• House supervisor is available in house
• Nurse aides are available
• Hospitalist is in house 24/7
• Intensivist is available during the day
• RT is in house 24/7, but not specifically in ICU
• RT equipment includes vents, CPAP, and BiPAP
• Tele techs are on the unit, and RNs read their own strips
• Philips tele monitors are used

Floating

• Floats to PCU and occasionally MedSurg
• When floating to MedSurg, the assignment is a full patient load of 1:5–6

Schedule

• 12-hour shifts, 7–7
• No self-scheduling
• Travelers fill in gaps in the first schedule
• Weekend requirement is generally every 3rd weekend, with flexibility based on need
• Holiday requirement is every 3rd holiday, including one of the winter holidays
• No call or standby requirement

Orientation

• 2 days of department nursing orientation
• 1 shift on the floor

Additional Notes

• Solid color scrubs only, no designs
• Natural color hair
• 50-mile radius for all travelers