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

Medical/Surgical Intensive Care RN

Location: Prescott, Arizona Contract length: 13 weeks Shift: Nights, 7p-7a, 12 hours per day, 36 hours per week

Required Qualifications

• ACLS and BLS certification
• Must pass the dysrhythmia exam within two attempts before signing the contract, scoring at least 80%. Failing results in a 6-month do-not-use (DNU) restriction with affiliated facilities.
• Good EKG reading skills
• Experience weaning and troubleshooting ventilators
• Experience in all areas, since travelers work every unit
• Able to titrate drips (required)
• Able to read their own telemetry strips
• Able to interpret ABGs

Preferred Qualifications

• IABP experience
• Prismaflex CRRT experience

Unit and Patient Information

• Units: CVICU (12 beds), COVID (8 beds), Medical/Surgical ICU (8 beds), and PCU (16 beds, up to 20 with double occupancy rooms), all under the same critical care service line
• Ratios: ICU 1:1-2 based on acuity and staffing; PCU 1:3-4
• Common patients: COVID (manual proning), post-surgical, post-MI, STEMI, PCI, CEA, DKA, sepsis, ARF, CRRT, chest tubes, art lines, SWAN, EVD, IABP, Impella, TAVR, cardiac surgery, and some VAD patients. Travelers may take fresh open heart patients if they have that experience and can complete the skills checkoff.
• Titratable drips: All critical care drips, such as pressors, paralytics, sedation, antiarrhythmics, dopamine, heparin, and argatroban
• Equipment: Ventilators, CPAP, BiPAP, HFNC, Vapotherm, and Glidescope (familiarity expected)

Staffing and Support

• No nurse aides on the unit
• No tele/monitor techs on the unit; nurses monitor telemetry
• Respiratory therapy covers all areas but is not in the ICU 24/7
• Intensivists are in house 24/7, with NP supplementation
• Charge nurse takes an assignment only as a last resort; house supervisor is available 24/7 with some exceptions
• Two charge nurses cover ICUs and PCU, handling rapid response and code blue

Scheduling

• Schedules are posted 4 weeks in advance
• Some self-scheduling is allowed, but schedules are finalized by the manager
• Trades with other staff are allowed
• Block scheduling is typically not allowed
• 4 weekend shifts per pay period
• Winter holidays: 1 holiday plus the eve of another; some holidays are required, but not all
• Call: No scheduled call. If census is low, the traveler could be placed on call, roughly once every 6 weeks.

Floating

• Works the float rotation with core staff
• May float to PCU and MST as needed, and to other ICU/PCU units if needed

Eligibility and Process

• Prescreen with auto offer if return-to-off time is less than 7 days and no holiday requests
• Radius rule: 50 miles. Candidates may not have worked full time, part time, or PRN with an affiliated system facility within the past year.

Orientation

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

Dress Code

• Any color professional scrubs; no camo scrubs