Travel Nurse RN - ICU - Intensive Care Unit
Grand Island, Nebraska
CHI Health Saint Francis

Registered Nurse (RN) – Cardiac ICU Night Shift

Location: Grand Island, Nebraska
Contract Length: 13 weeks

Job Overview

• Night shift position in a 16-bed Medical Surgical Cardiac ICU
• 12-hour shifts, 36 hours guaranteed per week
• Nurse-to-patient ratio typically 1:2, occasionally 1:1 for complex cases (e.g., TPA, balloon pump, crani recovery)
• Fast-paced environment with a culturally diverse patient population including non-English speakers (Hispanic, Sudanese)
• Focus on bedside shift report and intentional hourly rounding
• Remote eICU monitoring system in use

Patient Population & Care

• Patients range from young adults to geriatrics
• Common diagnoses: sepsis, STEMI, COVID, stroke, neurosurgery, renal failure, respiratory failure, COPD, cancer, DKA
• Equipment and therapies include:

  • ICP monitoring, balloon pumps (Arrow), Gaymar Hypothermia, Camino Neuro monitoring
  • CRRT, Impella, EVDs, lumbar drains
• RNs are required to titrate drips such as sedation, paralytics, pressors, antihypertensives, heparin, insulin
• RNs must read and interpret telemetry/monitor strips
• Respiratory equipment includes nasal cannula through ventilators; RNs troubleshoot but do not manage advanced respiratory devices

Schedule & Staffing

• Shifts: 0630-1900 and 1830-0700 (night shift position is 1830-0700)
• Weekend requirement: every other weekend
• Holiday requirement: as needed
• Floating primarily to Progressive Care Unit (PCU), with potential to float to other hospital areas based on skills
• Charge nurse present on each shift and takes patient assignments
• Nurse aides/patient care techs available at a ratio of 1:10

Orientation & Training

• Unit-specific orientation: 2 shifts
• RN skills exam during orientation (open book, must pass with 90% or higher)
• Emphasis on critical thinking, willingness to learn, and asking questions

Required Certifications & Licenses

• Current RN license
• BLS (Basic Life Support)
• ACLS (Advanced Cardiovascular Life Support)
• NIHSS (National Institutes of Health Stroke Scale) certification

Experience Requirements

• Minimum 1 year of unit experience in Cardiac ICU
• Prior travel experience is not required

Additional Requirements & Policies

• Must have a valid driver’s license at time of application (used to verify candidate is within 50-mile radius)
• Candidates cannot be currently employed full-time, part-time, or PRN with any facility associated with certain large healthcare systems within the radius
• Artificial nails are prohibited in all patient care areas; refusal to comply will result in contract termination
• Scrub color: Navy Blue for RNs
• Return to Office (RTO) required within 7 days of contract start; no additional RTO extensions allowed

Summary

This position is ideal for a motivated Cardiac ICU RN who thrives in a high-acuity, diverse environment and is ready to work night shifts with a strong focus on patient-centered care and teamwork. The role requires solid critical care skills, certifications, and a commitment to ongoing learning.