ICU Registered Nurse
Placentia, California
Per Diem

ICU Registered Nurse (Per Diem)

Location: Placentia, California Employment type: Per diem Contract length: 13 weeks

Schedule and Orientation

• Shift: Night, 12 hours (19:00 to 07:30), 12 hours per week
• Availability: Candidates must be able to provide at least one day of availability per week.
• Orientation: One 12-hour day shift on the unit, scheduled based on availability Monday to Friday, plus 12 to 14 hours of pre-start modules.
• Access note: Access provisioning may be delayed, and clearance can be extended while access is provisioned.

Unit and Patient Profile

• Unit: ICU
• Patient ratio: 1:2
• Patient age group: Adults and geriatrics
• Census: Average daily census of 6 on an 8-bed unit

Required Qualifications

• 1 year of ICU experience
• ACLS certification (AHA or RQI only; instructor cards not accepted)
• BLS certification (AHA or RQI only; instructor cards not accepted)
• NIHSS certification
• 2 references within the last year from supervised clinical work, from a leadership role (Department Manager, Supervisor, Charge Nurse, Nurse Manager, or Assistant Nurse Manager)
• Continuing education copies from the last 24 months (must list name, course, completion date, and contact hours; anything above 1 contact hour is accepted; BLS cannot be used as CEU)
• Verification of state license (primary source verification)
• Government-issued photo ID
• Criminal background check within 1 year of start, updated annually (7-year search)
• Must live within a 50-mile radius
• 1-year separation from the health system

Clinical Skills Listed

• Cardiac monitoring and emergency response
• Thermoregulation (hypothermia and hyperthermia), including hypothermia protocol and Arctic Sun
• Central venous pressure monitoring (CVP)
• Pre- and post-cardiac cath/intervention care
• Pulmonary artery line and Swan-Ganz monitoring
• IV insulin protocols
• GI surgery, liver failure, and genitourinary/renal care
• IV therapy, including continuous IV paralytics/neuromuscular blockade and continuous IV sedation
• Emergency medications and procedural sedation administration and monitoring
• Titrating cardiac and vasoactive drips
• CVA/acute stroke management
• Respiratory/thoracic care
• EHR experience (software familiarity, not a credential)

Competency and Testing

• Medication/calculation exam for all per diem RNs
• Arrhythmia recognition assessment (EKG exam) for ICU RNs, per diem only: 10 questions, 80% passing score
• Infection control/bloodborne pathogens exam, 80% passing score, for clinical and per diem candidates (the full exam is required, not CORE)
• Unit-specific competency exam
• EHR test-out; EHR modules required if the test-out is not passed
• Medication dispensing system agreement, required for travel and per diem RNs (due 5 business days before orientation)

Health and Immunizations

• Physical exam within 1 year of start, updated annually
• N95 mask fit test within 1 year, renewed annually (PAPR accepted only with proof of a failed N95 fit test)
• Negative TB test (PPD, TSpot, or QGold) within 1 year of start; or, if positive, a negative chest X-ray within 4 years and an annual TB questionnaire
• Measles, mumps, rubella, and varicella: positive titer or 2 vaccines after age 1; negative or equivocal titers require 2 boosters (may start with the 2nd booster pending)
• Tetanus/diphtheria/Tdap; if it cannot be obtained for a health reason, a pertussis titer showing immunity is needed
• Hepatitis B series or declination (titer not accepted)
• Hepatitis C titer strongly preferred; declination accepted if necessary
• 9-panel drug screen within 1 year of start (instant drug screen acceptable; not updated annually)
• Flu vaccine by 12/5, or a signed declination; candidates without a vaccine or declination after 12/4 will be pulled. Candidates who decline must follow masking requirements, including wearing a mask at all times during flu season if no flu vaccination is on file.

Onboarding Documents

• Signed HIPAA acknowledgement
• Confidentiality agreement, completed within 72 hours of signing (time sensitive)
• Unit-specific job description, signed before start
• Orientation packet and orientation acknowledgment, signed in DocuSign
• Skills self-assessment for RNs
• Standard of care: skin care attestation
• Epidural pain policy review (nothing to turn in)
• ICU traveler tip sheet, last page signed
• Traveler acknowledgement of Joint Commission readiness, physician rounding updates, and national patient safety goals
• Sexual violence and sexual harassment policy review
• Workplace violence prevention acknowledgement (per diem)
• Facility badge with a photo taken per the badge photo requirements (headshot from shoulders up, solid background, no hats, no filters)
• Lakewood-specific documents are not applicable to this assignment.