ICU Registered Nurse
Prescott, Arizona
Yavapai Regional Medical Center-West Campus

Registered Nurse (Intensive Care)

Location: Prescott, Arizona
Contract Length: 13 weeks
Shift: Nights
Hours: 12-hour shifts, approximately 36 hours per week

Unit and Patient Care Details

• Unit includes CVICU (12 beds), COVID ICU (8 beds), Medical-Surgical ICU (8 beds), and PCU (16-20 beds with double occupancy). All under the same Critical Care service line.
• Nurse-to-patient ratios: ICU 1:1-2 depending on acuity and staffing; PCU 1:3-4.
• Patient types include COVID (manual proning), low-level neuro, EVD, DKA, sepsis, PN, ARF, CRRT, rhabdomyolysis, post-MI, detox, chest tubes, arterial lines, Swan-Ganz catheters, post-surgical patients including cardiac surgical cases, Impella, TAVR, VAD devices, STEMI, PCI, CEA, IABP.
• Nurses should be able to interpret ABGs and have strong EKG reading skills.
• Travelers with open heart surgery experience are preferred and should be able to check off relevant skills.

Required Certifications and Skills

• BLS and ACLS certification required.
• Must pass a dysrhythmia exam with a minimum score of 80% within two attempts prior to contract signing.
• Experience with IABP and Prismaflex CRRT preferred.
• Ability to wean and troubleshoot ventilators.
• Must be able to titrate critical care drips including pressors (e.g., levophed), paralytics, sedation (propofol), antiarrhythmics, dopamine, heparin, and argatroban.
• Familiarity with ventilators, Glidescopes for intubation, BiPAP, CPAP, HFNC, and Vapotherm.
• Nurses are responsible for monitoring telemetry strips and using Nihon Kohden monitors.

Staffing and Support

• Intensivists are in-house 24/7.
• Nurse Practitioners provide supplemental coverage.
• Respiratory Therapists cover all areas but are not present in ICU 24/7.
• No Tele/Monitor Techs on the unit; RNs read their own telemetry strips.
• No nurse aides on the unit.
• Charge nurses may take patient assignments only as a last resort.
• House supervisor coverage is 24/7 with some exceptions.

Scheduling and Work Requirements

• Schedule is 7 pm to 7 am, created 4 weeks in advance.
• Some self-scheduling allowed but subject to manager approval.
• No block scheduling typically allowed.
• Weekend requirement: 4 weekend shifts per pay period (weekend nights are Friday and Saturday; weekend days are Saturday and Sunday, with some variation).
• Holiday requirement: 1 holiday and the eve of another holiday per contract; not all holidays require work.
• Possible on-call once every 6 weeks during low census; no scheduled call.
• Floating required within float rotation; may float to PCU, MST, or EC ICU/PCU as needed.

Orientation and Dress Code

• 8 hours of general hospital orientation.
• Unit orientation includes one 12-hour shift with a preceptor and a second 12-hour shift with a buddy.
• Additional orientation/checkoff required for special skills such as open heart surgery or CRRT.
• Scrub color: any professional color except camo; will transition to navy scrubs in October.

Additional Requirements

• Radius rule: candidates must live more than 50 miles away and may not have worked full-time, part-time, or PRN at any affiliated facility within the past year.
• Prior travel experience is not explicitly required.
• Must be able to work all areas within the critical care service line.

Note: This position requires strong critical care skills, flexibility to float between units, and the ability to manage complex cardiac and medical-surgical patients in a high-acuity environment.