Job info

ICU RN Position - Marianna, Florida

Job Overview

ICU RN role in a small 88-bed hospital with a 7-bed Main ICU (Special Care Unit) and a 22-bed COVID ICU.
Possible float to Med Surg.
Weekend rotation: every other weekend.
No on-call required.
12-hour shifts (7a-7p and 7p-7a).
ASAP start.

Contract Length

13 weeks.

Required Certifications

Florida RN license.
BLS (Basic Life Support).
ACLS (Advanced Cardiovascular Life Support).
PALS (Pediatric Advanced Life Support) required within the earliest reasonable offering.
Ventilator and tracheostomy experience mandatory.
NIHSS and TNCC preferred.

Experience Requirements

Must have experience with ventilators and tracheostomies.
Experience with all critical care drips, including sedation.
Prior travel experience is not explicitly required.

Patient Population & Unit Details

Main ICU: 7 beds, all ventilated, typically full.
COVID ICU: 22 beds, includes MedSurg COVID-positive and vented patients.
PCU (Progressive Care Unit): 8 beds, no vents but requires vent and trach experience due to patient acuity.
Patient diagnoses include primarily COVID, DKA, Sepsis, Pulmonary Edema, CHF, COPD, Flu, acute abdomen, abdominal perforation, post-op care, minor traumas, and hypertensive crisis.

Staffing & Ratios

ICU/COVID ICU goal ratio: 1:2; rarely up to 1:3 with low acuity patients.
PCU/Regular COVID ratio: typically 1:4, occasionally 1:5.
No CNAs in ICU or COVID ICU; CNAs used in PCU and Regular COVID units.
RNs may be required to perform CNA duties if overstaffed.

Work Environment & Support

EMR system: CPSI - Evident Thrive.
House Supervisor available 24/7 but less present on COVID units.
ICU Director/Manager is a "working manager" and available 24/7.
No dedicated IV team; some staff PICC and Midline certified assist with difficult IVs.
Respiratory Therapists available 24/7 managing vents, EKGs, breathing treatments, and ABGs.
Pharmacy available 24/7 with Omnicell system.
Monitor techs usually present, but RNs must be able to read and interpret cardiac strips.

Orientation & Floating

Orientation includes training on Omnicell, CPSI, and SCU.
Floating required between ICU, PCU, and COVID units; director aims for consistent and equitable floating.
Preference for nurses willing to float between ICU and PCU.

Additional Notes

Scrub colors: Navy/Black generally; green scrubs provided for COVID units and must be returned after shifts.
Flexibility and adaptability are essential due to fluctuating patient volumes and COVID-related challenges.
No PICU patients except occasional pediatrics sent out if critically ill.
LTAC RNs with strong LTAC/ICU experience may be considered.

Summary:
This ICU RN position requires strong critical care skills, especially with ventilators, tracheostomies, and critical drips. The role involves working in a high-acuity environment with COVID and non-COVID patients, floating between units, and working 12-hour shifts with weekend rotations. Certifications in BLS, ACLS, and PALS are mandatory. Flexibility and teamwork are key due to the dynamic nature of the patient population and staffing needs.