ICU RN
Prescott, Arizona
Yavapai Regional Medical Center-West Campus

Medical/Surgical Intensive Care RN

Overview

• Location: Prescott, Arizona
• Setting: Hospital in central Arizona
• Contract length: 13 weeks
• Shift: Nights, 12 hours per day, 36 hours per week
• Unit: Medical/Surgical Intensive Care, part of the Critical Care service line
• Beds: CVICU 12, COVID 8, MS ICU 8, PCU 16 (up to 20 with double-occupancy rooms)
• Patient ratios: ICU 1:1-2 per acuity and staffing; PCU 1:3-4

Required Qualifications

• ACLS and BLS certification
• Passing score of 80% on the dysrhythmia exam within two attempts, completed before signing the contract
• Good EKG reading skills
• Weaning and troubleshooting of ventilators
• Experience across all areas, since travelers work all units
• Ability to titrate drips (RNs are required to titrate)
• Ability to read their own telemetry strips
• Candidates may not have worked full time, part time, or PRN with any affiliated facility within the past year
• Radius rule: 50 miles

Preferred Qualifications

• IABP experience
• Prismaflex CRRT experience
• Skills list including EVD, chest tubes, arterial line, and Swan-Ganz (3-4 preferred)

Clinical Profile

• Common diagnoses and patients: COVID (manual proning), low-level neuro, EVD, DKA, sepsis, PN, ARF, CRRT, rhabdo, post-MI, detox, chest tubes, arterial line, Swan-Ganz, surgical (largely post-surgical), Impella, TAVR, cardiac surgical, VAD devices (some), STEMI, PCI, CEA, IABP
• Open heart patients: Travelers may take fresh open heart patients if they have the experience and can check off the required skills
• Clinical expectations: Nurses should be able to interpret ABGs, troubleshoot and help wean ventilators, and be familiar with Glidescope use during intubation
• Titratable drips: All critical care drips, including pressors (levophed), paralytics, sedation (propofol), antiarrhythmics, dopamine, heparin, and argatroban
• Equipment: Ventilators, CPAP, BiPAP, HFNC, Vapotherm
• Monitoring: No tele/monitor techs on the unit; nurses monitor telemetry (Telemetry), with monitors in rooms and at the nurses' station

Unit Staffing and Support

• Charge nurse: Charge nurses take an assignment only as a last resort. The goal is two charge nurses between the ICUs and PCU, who handle rapid response and code blue and sometimes take patients.
• Nurse aides: None on this unit
• Intensivists: In house 24/7, with NP supplementation
• Respiratory therapy: RT covers all areas but is not in the ICU 24/7
• House supervisor: Available 24/7 with some exceptions

Scheduling

• Shift times: 7-7
• Schedule release: Made 4 weeks in advance
• Self-scheduling: Limited; schedules are finalized by the manager. Trades with other staff are allowed. Block scheduling is typically not allowed.
• Weekends: 4 weekend shifts per pay period (nights: Friday/Saturday, or a variation such as Saturday/Sunday/Monday; days: Saturday/Sunday, or a variation such as Sunday/Monday/Tuesday)
• Holidays: Winter holidays include 1 holiday and the eve of another. Some holidays are required, but not all holidays are worked.
• On-call: None scheduled; a traveler could be placed on call only during low census, about once in 6 weeks.
• Float: Works in the float rotation with core staff, floating to PCU, MST, and EC ICU/PCU as needed.
• Prescreen: Auto offer if return-to-work is less than 7 days and no holiday requests.

Orientation

• 8 hours of general hospital orientation
• One 12-hour shift on the unit with a preceptor, and a second 12-hour shift with a buddy for questions
• Additional checkoff needed for specialty skills such as open heart surgery RN or CRRT

Other Details

• Dress code: Any color professional scrubs; no camo scrubs
• Do-not-use policy: Failing the dysrhythmia exam twice results in a 6-month do-not-use status with the organization's facilities.