MICU Registered Nurse
Placentia, California
Per Diem

ICU Registered Nurse (Per Diem)

Overview

• Employment type: Per diem
• Contract length: 13 weeks
• Location: Placentia, California
• Patient ratio: 1:2
• Patient population: Adults and geriatrics
• Unit: ICU, average daily census of 6 with 8 beds

Schedule

• Shift: Day, 12 hours (7:00 to 19:30), 12 hours per week
• Availability: Must provide at least one day of availability per week
• Orientation: One day shift scheduled based on availability (Monday to Friday), including 12 hours on the unit and 12 to 14 hours of pre-start modules
• Epic test-out: Completed remotely. Clinicians who fail must complete required modules.

Required Qualifications

• 1 year of ICU experience
• ACLS, BLS, and NIHSS certifications

  • ACLS and BLS must be AHA or RQI only. Instructor cards are not acceptable.
• 2 references who supervised the candidate on a work assignment within the last year (Department Manager, Supervisor, Charge Nurse, Nurse Manager, or Assistant Nurse Manager)
• Continuing education copies from the last 24 months, with at least 1 contact hour each. The certificate or transcript must list the candidate's name, course name, completion date, and contact hours. BLS cannot be used for CEUs.
• Must live within a 50-mile radius
• Government-issued photo ID

Clinical Skills

• Cardiac monitoring and emergency response
• Thermoregulation (hypothermia/hyperthermia)
• Central venous pressure monitoring (CVP)
• Pre/post cardiac catheterization or intervention
• Pulmonary artery line/Swan-Ganz monitoring
• IV insulin protocols
• GI surgery, liver failure, and genitourinary/renal care
• IV therapy
• Continuous IV paralytics/neuromuscular blockade
• Continuous IV sedation
• Emergency medications
• Procedural sedation administration and monitoring
• Titrating cardiac and vasoactive drips
• CVA/acute stroke management
• Hypothermia protocol (Arctic Sun)
• Respiratory/thoracic care

Systems

• Epic (software familiarity)
• Omnicell is used instead of Pyxis

Exams and Competencies

• Medication/calculation exam for all RNs
• Arrhythmia recognition assessment (EKG exam) requiring an 80% passing score, for ICU nurses
• Unit-specific competency exam
• Infection control/bloodborne pathogens exam requiring 80%. Core exams are not accepted in its place.

Health and Compliance

• Criminal background check within 1 year of start, updated annually, with a 7-year search
• Physical exam within 1 year of start, updated annually
• N95 mask fit test within 1 year of start, renewed annually. PAPR documentation is accepted only after a documented failed N95 fit test.
• Negative PPD, TSpot, or QuantiFERON within 1 year of start, or a negative chest x-ray within 4 years plus an annual TB questionnaire if positive
• Rubeola, mumps, rubella, and varicella: positive titer, or 2 vaccines after age 1. Negative or equivocal titers require 2 boosters, and the candidate may start with the second booster pending.
• Hepatitis B series or declination. Titer is not acceptable.
• Hepatitis C titer strongly preferred. Declination is accepted if necessary and must include a reason.
• Tetanus/diphtheria/Tdap. If it cannot be obtained for a health reason, a pertussis titer showing immunity is required.
• 9-panel drug screen within 1 year of start. Instant drug screen is acceptable.
• Flu vaccine required by 12/5. Declinations are accepted, but candidates who decline must mask at all times during flu season.

Onboarding Documents

• Signed HIPAA acknowledgement
• Confidentiality agreement, completed within 72 hours of signing (time-sensitive for per diem)
• ICU traveler tip sheet, with the last page signed as acknowledgment
• Epidural pain policy review (no submission required)
• Standard of care: skin care packet and attestation
• Sexual violence and sexual harassment policy review
• Workplace violence prevention acknowledgement (per diem)
• Pyxis agreement, due 5 business days before orientation (per diem)
• Unit-specific job description and orientation acknowledgment
• Badge photo: headshot from the shoulders up, solid-color background, no hats, and no filters or enhancements