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

Med Surg ICU RN

Location: Omaha, Nebraska Contract Length: 13 weeks Shift: Nights, 12-hour shifts (0630-1830 or 1830-0630) Hours: 36 hours guaranteed per week

Required Qualifications

• Certifications: BLS, ACLS, and NIHSS
• 2 years of recent ICU experience
• Driver's license required at submittal (used to determine whether the candidate lives outside the 50-mile radius)
• Pass/fail exam during orientation on Friday: open-book, on skills learned, with a 90% passing score required (resources are provided)

Policies and Restrictions

• Radius rule: Candidates must live outside 50 miles and may not work full time, part time, or PRN at any facility associated with the health system, including its affiliated brands.
• Time off: Up to 7 requested time-off days (RTO) per 13-week contract. Additional RTO will not be approved, including after submission.
• Fingernails: Artificial nails are prohibited in all patient-care areas. Refusing to remove them will lead to contract termination.
• Scrub color: Navy blue

Unit Details

• Department: Med Surg ICU RN
• Beds: 34
• Nurse-to-patient ratios: ICU 1:1-2, PCU 1:4-5, MS 1:5-6
• Patient care techs: Yes, 1:18
• Charge nurse: Yes, attends RRTs and Codes; takes an assignment
• Titration: RNs must titrate drips, including vasopressors, paralytics, narcotics, sedation, and antiarrhythmics
• Respiratory equipment: RNs are responsible for nasal cannula to vents, beyond troubleshooting
• Telemetry: No tech support. RNs must read and interpret Draeger heart monitoring with centralized telemetry monitoring.
• Patient population: Adults and pediatric patients over 15 years old. Includes neuro surgery (thrombectomy program), respiratory failure, ARDS, MODS, sepsis, stroke, cardiogenic shock, renal failure (CRRT), general surgery, psych/OD, GI bleeds, cancer surgeries (esophagectomy), internal chemo administration, CVPs, A-lines, Swans, EV-1000, and ICP monitoring. Some of these (neuro interventional, Impella/balloon pump, CRRT) are listed as not requiring prior experience, and training is available in real time for others.
• Other equipment: Zoll Thermoguard for hypothermia protocol, Belmont rapid transfuser

Schedule and Floating

• Scheduling: Manager creates the schedule based on unit needs. No self-scheduling.
• Weekends: Every other weekend
• Holidays: 2 of 3 major holidays, or as needed
• Floating: To all inpatient units except Maternity and NICU
• Orientation: 2 unit-specific shifts

Additional Notes

• Fast-paced unit with volume fluctuations, as it is the primary tertiary hospital for the system.
• Team environment that works with attending physicians and student providers (fellows and residents) to collaborate on care.
• Success traits listed: asking questions, positive attitude, willingness to help others, critical thinking, and being personable.