Surgical ICU RN
Bowling Green, Kentucky
Float Pool The Medical Center

Surgical Intensive Care Unit RN

Location

• Bowling Green, Kentucky

Assignment Details

• Per diem Registered Nurse assignment
• 13-week contract
• Night shift: 7:00 PM–7:30 AM
• 12-hour shifts, 3 shifts per week
• Float required
• Unit: NCHC MCBG SICU 4D
• Specialty: Surgical Intensive Care Unit
• Unit type: CICU/CVICU, ICU-SICU, and Stepdown/PCU
• 18 beds
• Average daily census: 17
• Orientation: 24 hours
• Scrubs: Ceil Blue or Caribbean Blue

Required Qualifications

• Valid RN license in Kentucky
• Associate of Science in Nursing / Associate Degree in Nursing
• Cardiac Stepdown (2 years of experience)
• Cardiac Stepdown experience within the last year
• ICU - Intensive Care Unit experience
• ACLS
• BLS
• NIHSS

Preferred Qualifications

• Meditech experience
• Teaching hospital experience
• Trauma Level I or II experience
• Experience with cardiac surgery, CVICU, surgical ICU, IABP, Swan-Ganz monitoring, pacing wires, arterial lines, ventilator management, CRRT, titratable cardiac or vasoactive drips, and complex post-operative care

Clinical Scope

• Critical-care nursing in a post-surgical environment
• Adult patients requiring intensive monitoring and stepdown care following complex cardiac and surgical procedures
• Care for patients with chest and mediastinal tubes, epicardial pacing wires, pulmonary artery catheters/Swan-Ganz monitoring, intra-aortic balloon pumps, arterial lines, multisystem organ dysfunction or failure, acute kidney injury, acute or chronic renal failure, and respiratory failure or ventilator needs

Responsibilities

• Provide direct ICU and stepdown nursing care based on patient acuity
• Monitor hemodynamic status, cardiac rhythms, arterial lines, central lines, and other invasive devices
• Manage chest tubes, mediastinal tubes, pacing wires, Swan-Ganz/PAC monitoring, and IABP patients
• Care for patients following cardiac surgery and other major surgical procedures
• Manage ventilated patients and provide respiratory support, including BiPAP/CPAP, high-flow nasal cannula, ABG interpretation, and suctioning
• Monitor intake and output and provide care for patients with acute kidney injury or renal failure
• Administer and titrate cardiac and vasoactive drips within competency and facility policy
• Manage continuous IV sedation, emergency medications, procedural sedation, blood products, TPN/lipids, and IV therapy as assigned
• Provide infection prevention, isolation precautions, massive transfusion support, and high-output drain management
• Communicate patient status using SBAR and collaborate with intensivists, hospitalists, CRNAs, anesthesiology, respiratory therapy, pharmacy, and rapid response resources
• Float to the stepdown level or other assigned areas consistent with competency