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

TICU RN

Location: Omaha, Nebraska Contract Length: 13 weeks Shift: Nights, 12 hours, 36 hours per week

Unit Overview

• Department: Trauma ICU
• Beds: 18
• Nurse-to-Patient Ratios: 1:1-2 ICU, 1:4 PCU
• Patients: Adults and pediatrics over 15 years old. Common conditions include various trauma injuries (the only level 1 trauma center in the system, with many transfers and ED admits), sepsis, stroke, ARDS, MODS, COPD, and cardiac arrest.
• Fast-paced unit with critically ill patients. Critical thinking skills, a personable and positive attitude, and being a team player help a nurse succeed here.
• Floating: To all inpatient units, excluding Maternity and NICU.

Required Qualifications

• Certifications: ACLS, BLS, NIHSS
• Driver's license: Required at submittal. It is used to confirm the candidate lives outside a 50-mile radius.
• Radius rule: Candidates must live more than 50 miles away and may not work full time, part time, or PRN with any facility in the associated health system.
• Does not accept first-time travelers.
• Fingernail policy: Artificial nails are prohibited in all departments providing patient care. Refusing to remove them will lead to contract termination.
• Titrate drips: Yes, RNs are required to titrate drips. Common drips include vasopressors, paralytics, narcotics, sedation, and antiarrhythmics.
• Telemetry: No tele/monitor techs. RNs must read and interpret Draeger heart monitoring and centralized telemetry strips.

Clinical Skills and Equipment

• Devices RNs take with training: CVPs, IABP, and Impella-core staff will take candidates with no experience. Arterial lines, Swans, EV-1000, and ICP monitoring can all be trained in real time.
• Other equipment: Zoll-Thermoguard for hypothermia protocol and Bell Mont rapid transfuser.
• Respiratory equipment: RNs take nasal cannula to vents and do not need to do anything else beyond troubleshooting.
• Charge nurse: There is a charge nurse on each shift, and the charge nurse takes an assignment.
• Nurse aides/patient care techs: Yes, with a 1:18 ratio.

Orientation and Evaluation

• Orientation: 2 unit-specific shifts.
• Exam: A pass/fail open-book skills exam is given on Friday during orientation. Candidates are given all necessary resources to pass but must score 90% or they will be terminated.

Schedule

• Shifts: 0630-1830 and 1830-0630
• Scheduling: Self-scheduling, managed by the manager based on unit needs.
• Weekends: 4 weekend shifts per 6-week schedule period.
• Time off: 7 or fewer days off (RTO) per 13-week contract. Additional RTO will not be approved, including after submission.

Dress Code

• Scrub color: Navy blue