Critical Care Float ICU RN
Bangor, Maine
Eastern Maine Medical Center

Registered Nurse - ICU Float Pool

Location: Bangor, Maine Contract Length: 13 weeks Hours: 36 per week Shift: 7P-7A, 12-hour nights Start Date: 12/1

Required Qualifications

• Valid RN license in Maine
• Associate of Science in Nursing (ADN) / Associate Degree in Nursing
• ACLS
• BLS
• NIHSS
• PALS
• Critical Care Float experience (2 years)
• Critical Care Float experience within the last year
• ICU (Intensive Care Unit) experience
• Experience working with cardiac patients
• Trauma experience
• Neurology experience, including stroke experience
• Ventilator management
• Cardiac rhythm interpretation
• Chest tube and drain management
• Hemodynamic line experience (arterial lines/CVP)

Clinical Skills Listed

• Ventilator management
• Critical care drips and titration
• Cardiac rhythm interpretation and measuring cardiac strips
• Drains, chest tubes, and hemodynamic lines (art lines, CVP)
• Stroke experience

Patient Population and Acuity

• Patient types: Multispecialty critical care (Medical, Surgical, Cardiac, Neuro, Ortho, Trauma, Interventional)
• Common conditions: Stroke, ICP monitoring, EVD drains, spinal precautions, DKA, sepsis, multisystem trauma, COVID, STEMI, NSTEMI, heart failure
• Ratios:

  • ICU: 1:2, based on acuity (may receive a third patient if one is being downgraded)
  • PCU: 1:3-4, based on acuity
  • ED holds: up to 6, based on acuity (e.g., Med/Surg 1:5-6)

Float Scope

• Routinely floats between ICU and PCU levels of care, including Cardiac PCU, General PCU, CVICU, and ICU
• May float to the ED to take ED holds (admitted patients awaiting beds) and ED observation patients, within scope of practice

Facility Information

• Level II Trauma Center; receives air flights (closest Trauma hospital within a 50-mile radius)
• 411 beds
• Adequate PPE provided
• Support staff: CNA, charge nurse (typically unassigned), IV/VAT team, resource nurse/house supervisor (24/7), RT (24/7), hospitalist (24/7), cardiovascular surgeon and team (24/7), intensivist for consult (24/7), OT/PT/ST (Mon-Fri)
• Phlebotomy is a shared responsibility with RN
• Charting and equipment: EMR, infusion pump, and medication dispensing systems

Orientation

• General hospital orientation, followed by 1 day of on-unit orientation with a preceptor

Scheduling

• Weekend rotation: every other weekend (day shift Sat/Sun; night shift Fri/Sat)
• Time off: up to 7 days; must extend contract if taking a full week off; holiday requests require approval from nurse manager
• On call: No
• Holiday expectations vary based on unit needs

Onboarding Items

• Skills checklist, unit competency, and ACLS/PALS documentation
• Flu, TB, and immunization documentation
• Standard background, screening, and employment verification

Other Notes

• Scrubs: any color, as long as professional
• Parking: free in designated areas
• First-time travelers welcome