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

ICU RN

Location: Omaha, Nebraska Contract Length: 13 weeks Job Type: RN (Registered Nurse), Days Hours: 12-hour shifts, 36 hours guaranteed per week Shift Times: 0630-1830 and 1830-0630

Department

Med Surg ICU RN, 34 beds

Nurse-to-Patient Ratios: ICU 1:1-2, PCU 1:4-5, Med Surg 1:5-6 Nursing Support: Nurse aides/patient care techs are on the unit at 1:18. No tele/monitor techs. RNs must read and interpret their own telemetry strips from the centralized monitoring system.

Required Qualifications

• Certifications: BLS, ACLS, 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)
• Must not be full time, part time, or PRN with any facility associated with the parent health system

Job Responsibilities

• RNs are required to titrate drips, including vasopressors, paralytics, narcotics, sedation, and antiarrhythmics.
• The charge nurse takes an assignment and attends RRTs and codes.
• RNs manage nasal cannula to vents.
• Common patients include adults and pediatric patients over 15, neuro surgery, respiratory failure, ARDS, MODS, sepsis, stroke, cardiogenic shock, renal failure (CRRT), general surgery, psych/OD, GI bleeds, and cancer-specific surgeries.
• Procedures and equipment include central lines, arterial lines, Swans, EV-1000, ICP monitoring, Zoll Thermoguard hypothermia protocol, and Bell Mont rapid transfuser.
• Some items (neuro interventionalist/thrombectomy, impella/balloon pump, CRRT) are listed as not requiring prior experience, and staff can train real time on the others.

Schedule and Policies

• Scheduling: The manager builds the schedule based on unit needs. Self-scheduling and block scheduling are not offered.
• Weekends: Every other weekend.
• Holidays: 2 of 3 major holidays, or as needed based on unit needs.
• Floating: Will float to all inpatient units except Maternity and NICU.
• Time off: Requested time off (RTO) must be submitted upfront, with 7 or fewer days per 13-week contract. Additional RTO will not be approved, including after submission.
• Dress code: Navy blue scrubs.
• Fingernail policy: Artificial nails are prohibited in all patient care areas. Refusal to remove them will lead to contract termination.

Orientation

• 2 shifts of unit-specific orientation
• Pass/fail open-book skills exam on Friday of orientation. Candidates must score 90% or higher to pass, or they will be terminated.

Additional Notes

• Fast-paced unit with volume fluctuations, as it is the primary tertiary hospital for the system.
• Successful nurses on this unit are able to ask questions, think critically, work well in a team, and stay positive and personable.
• The team works closely with attendings and student providers (fellows and residents) to collaborate on care.