Medical-Surgical ICU RN
Omaha, Nebraska
CHI Health Creighton University Medical Center Bergan Mercy

Registered Nurse (ICU)

Location: Omaha, Nebraska
Contract Length: 13 weeks
Shift: 12-hour shifts (0630-1830, 1830-0630)
Hours Guaranteed: 36 hours per week
Orientation: 2 shifts of unit/department-specific orientation

Unit Details

• Unit Type: Medical-Surgical ICU
• Number of Beds: 34
• Nurse-to-Patient Ratios:

  • ICU: 1:1-2
  • PCU: 1:4-5
  • Med Surg: 1:5-6
• Patient Population: Adults and pediatrics over 15 years old
• Common Diagnoses:

  • Neuro surgery (experience not required)
  • Respiratory failure, ARDS, MODS, sepsis, stroke
  • Cardiogenic shock (impella, balloon pump; experience not required)
  • Renal failure (CRRT; experience not required)
  • General surgery, psych/overdose, GI bleeds
  • Cancer-specific surgeries (esophagectomy, internal chemo administration)
• Equipment & Monitoring:

  • CVPs, Arterial lines, Swan-Ganz catheters, EV-1000, ICP monitoring (training provided)
  • Zoll Thermoguard for hypothermia protocol
  • Bell Mont rapid transfuser
  • Respiratory equipment from nasal cannula to ventilators (RNs troubleshoot)
  • Draeger heart monitoring with centralized telemetry; RNs must read and interpret strips
• Drip Management: RNs are required to titrate vasopressors, paralytics, narcotics, sedation, antiarrhythmics
• Charge Nurse: Present on each shift, attends RRTs and Codes
• Support Staff: Patient care techs with a ratio of 1:18

Required Qualifications

• Minimum 2 years recent ICU experience
• Certifications: BLS, ACLS, NIHSS
• Valid driver’s license required at submission
• Must pass a 90% score on a pass/fail open book skills exam during orientation
• Fingernail policy: Artificial nails prohibited in patient care areas; refusal to comply may result in contract termination

Scheduling & Requirements

• Weekend: Every other weekend required
• Holidays: 2 out of 3 major holidays or every other, based on unit needs
• Floating: Will float to all inpatient units except Maternity/NICU
• Dress Code: Navy blue scrubs
• Scheduling: Manager assigns schedule based on unit needs (no self-scheduling)

Additional Information

• Fast-paced tertiary hospital environment with volume fluctuations
• Successful candidates demonstrate critical thinking, positive attitude, teamwork, and strong communication skills
• Collaborative work environment with attendings, fellows, residents, and student providers
• Radius rule: Candidates must live within 50 miles and cannot be currently employed full-time, part-time, or PRN with certain affiliated facilities
• Return to Office (RTO) required within 7 days of contract start; no additional RTO approvals

Note: Prior travel experience is not explicitly required for this position.