Pediatric ICU Registered Nurse
Norfolk, Virginia
Children's Hospital of The King's Daughters

Job Opportunity: RN - PICU

Location: Norfolk, Virginia
Employment Type: Long Term (13 weeks)

Specialty

• Pediatric Intensive Care Unit (PICU)
• Cardiovascular PICU (CVPICU) experience required

Experience Requirements

• Minimum 2+ years of PICU and CVPICU experience
• Strong background in respiratory, neurosurgery, and cardiac care
• High proficiency with post-neurosurgery patients, asthmatics, trauma, status epilepticus, cleft lip/palate, craniofacial conditions, and specific medication administration (versed, narcotic analgesia)
• Experience with CRRT and diabetic patient care
• Ability to mentor new nurses

Licensure & Certifications

• BLS and PALS required
• Valid Virginia or compact nursing license
• Flu vaccination required (no exemptions)

Patient Population

• Ages from birth to early 20s, sometimes into 30s and 40s for congenital heart patients
• Approximately 98% inpatient, 2% outpatient
• Nurse to patient ratio: 1:1, 1:2, or 1:3
• Unit size: 31-40 beds
• Use of ancillary staff including CNAs
• Float support to NICU and general pediatric care floors

Common Diagnoses & Treatments

• Respiratory, neurological, and cardiac conditions
• Special procedures: ECMO, CRRT, aquapheresis, chest tube and line placements, procedural sedation

Respiratory/Airway Care

• Chest tube setup and care
• High frequency ventilators, oscillators, home vents
• Procedural sedation and rapid sequence intubation (RSI) drugs
• Tracheostomy care, CPAP/BiPAP, breathing treatments

Cardiac/Circulatory Care

• Blood and blood product administration
• Cardioversion/defibrillation
• Cooling/warming blankets
• CRRT/dialysis, CVP monitoring, ECMO
• Epicardial pacer management
• 12 lead EKG interpretation
• Post open-heart surgery care (24-48 hours)
• Rapid transfusions

Line Management & Equipment

• Drains, epidural pumps, EVD/ICP monitoring
• Feeding tubes, fistulas, PCA pumps
• PICC/central lines, Port-A-Cath care
• Syringe pumps, traction/halo/pin care
• Triple lumen catheters, wound vacs

Medications Titrated on Unit

• Amiodarone, antiarrhythmics, dobutamine, dopamine, epinephrine
• Heparin, insulin, levophed, milrinone, neosynephrine
• Nicardipine, nitroprusside, norepinephrine, propofol, vasopressin

Shift Details

• 12-hour rotating shifts
• Includes every other weekend and holidays

Note: Candidates must have current and active licensure and certifications valid for the entire 13-week assignment.