ICU RN
Silverdale, Washington
St Michael Medical Center

ICU RN

Location: Silverdale, Washington Contract Length: 13 weeks (travel) Shift: Days (07:00-19:30) and nights (19:00-07:30), 12 hours per day, 36 hours per week Schedule: 6-week blocks, self-scheduled, balanced and reviewed by the manager. The first schedule fills open holes.

Unit Details

• Unit: Mixed ICU (medical and CV), 4th Floor
• Beds: 24
• Ratios: 1:1 and 1:2 for ICU-level acuity; 1:3-4 for PCU-level acuity
• Charge nurse: Charge and resource nurse on every shift. Charge nurse takes no patient load; resource nurse may take a load.
• CNAs: 1:12 ratio, and may be pulled for 1:1 sitters
• Physician coverage: Hospitalist or intensivist in house 24/7
• Pharmacy: Dedicated pharmacist until 23:00, then house pharmacy
• Respiratory therapy: Dedicated to ICU 24/7
• Monitoring: Telemetry on this unit. ICU RNs set up, manage, and interpret monitors and read their own strips. Monitor techs are not used.

Common Patients and Procedures

• Diagnoses: Sepsis, COPD, COVID, pneumonia, withdrawal, post-TNK strokes, post-cardiac arrest (Arctic Sun), post-surgical and post-interventional cath patients, cath lab overflow, immediate open-heart recovery
• Therapies and devices: CRRT, IABP, Impella, PA catheters, vents, CPAP, BiPAP
• Drips: All ICU drips, sedation, vasoactive medications, and paralytics. RNs are required to titrate drips.

Required Qualifications

• Minimum 2 years of ICU experience
• Active BLS, ACLS, and NIHSS
• Washington or Compact nursing license (pending license needed to submit; temporary license takes about 4 weeks)
• Driver's license required at submittal

Preferred Qualifications

• CRRN and PCCN (preferred, not required)
• Specialty skills: Swan-Ganz management, Prismaflex CRRT, IABP, immediate open-heart recovery
• EMR experience (may test out if used within the last year)

Floating

• Usually floats between the 4th, 5th, and 6th floors (critical care) or to the ER for patient holds.

Orientation and Onboarding

• Orientation and education hours are not guaranteed during the first 2 weeks. Expect 25+ hours.
• Includes required modules, an 8-hour onboarding and education day, tours, and one shift with a preceptor.
• Module hours must be tracked on the timesheet and signed off by a manager.

Hiring Process

• The clinical team interviews candidates. If selected, the offer is extended on behalf of the facility.
• Start date and return-to-work must be approved by the manager before the offer is extended.

Other Details

• Call or standby: None
• Weekends: Many Sundays. Weekends are a high need.
• Holidays: Rotate with permanent staff
• Scrubs: Any professional color
• Ideal candidate: Flexible and a team player
• Housing: Not mentioned