CVICU RN
Grand Island, Nebraska
CHI Health Saint Francis

Cardiac ICU RN

Location: Grand Island, Nebraska (large health system in Nebraska/Iowa) Job Type: RN (Registered Nurse) Contract Length: 13 weeks Shift: Nights, 12-hour shifts, 36 hours guaranteed

Schedule

• Shift times: 0630-1900 and 1830-0700
• Unit schedulers create the schedule; self-scheduling and block scheduling are not described
• Weekends: every other weekend
• Holidays: as needed

Required Qualifications

• Certifications: BLS, ACLS, NIHSS
• 1 year of unit experience, with Cardiac ICU experience
• Valid driver's license, required at submittal (used to verify the 50-mile radius)

Unit Details

• Department: Medical Surgical Cardiac ICU, 16 beds
• Nurse-to-patient ratio: 1:2, with occasional 1:1 (TPA, balloon pump, recovery of crani)
• Procedures: ICPs and occasional balloon pumps, which may not be assigned to a traveler
• Patient population: young adults through geriatrics; diagnoses include sepsis, STEMI, COVID, stroke, neurosurgery, renal failure, respiratory failure, COPD, cancer, and DKA
• Equipment: Gaymar hypothermia, Arrow balloon pump, Camino neuro monitoring, CRRT, Impella, EVDs, lumbar drains
• Drip titration: RNs titrate drips, including sedation, paralytics, pressors, antihypertensives, heparin, and insulin
• Charge nurse on each shift, who takes an assignment
• Nurse aides/patient care techs on the unit at 1:10
• Respiratory equipment: RNs manage nasal cannula to vent (ventilators, CPAP, BiPap, and high flow are listed as equipment)
• Telemetry/monitor techs are on the unit, but RNs must read and interpret their own strips
• Floating: mainly to PCU, and to all hospital areas depending on abilities
• Scrubs: navy blue for RNs
• Orientation: 2 shifts of unit-specific orientation, including a Friday pass/fail exam (open book, 90% required to pass)

Work Environment and Policies

• Fast-paced unit with bedside shift report and hourly intentional rounding
• Seeks critical thinkers who are willing to ask questions and learn; not required to be competent in all ICU areas
• Culturally diverse patient community, including Spanish- and Sudanese-speaking patients
• Artificial nails are prohibited in patient care areas; refusal to remove them may lead to contract termination
• Radius rule: must live within 50 miles, and may not work full time, part time, or PRN at any facility associated with a specified health system

Time Off

• Up to 7 days off per 13-week contract
• Additional time off will not be approved, including after submission