Medical-Surgical ICU Registered Nurse
Omaha, Nebraska
CHI Health Creighton University Medical Center Bergan Mercy

ICU RN Opportunity - Omaha, Nebraska

Position Details

• Specialty: Medical-Surgical ICU Registered Nurse (MS ICU RN)
• Location: Omaha, Nebraska
• Contract Length: 13 weeks
• Shift: 12-hour shifts (0630-1830, 1830-0630)
• Hours Guaranteed: 36 hours per week
• Orientation: 2 shifts of unit/department-specific orientation
• Dress Code: Navy Blue scrubs

Unit Information

• Department: Medical-Surgical ICU
• Number of Beds: 34
• Nurse-to-Patient Ratios:

  • ICU: 1:1-2
  • Progressive Care Unit (PCU): 1:4-5
  • Medical-Surgical (MS): 1:5-6
• Patient Population: Adults and pediatrics over 15 years old
• Common Diagnoses/Patient Types:

  • Neuro surgery (including neuro interventionalist with thrombectomy program; experience not required)
  • Respiratory failure, ARDS, MODS, sepsis, stroke
  • Cardiogenic shock (Impella, balloon pump; experience not required)
  • Renal failure (CRRT; experience not required)
  • General surgery, psychiatric/overdose cases, GI bleeds
  • Cancer-specific surgeries (e.g., esophagectomy), internal chemotherapy administration
• Equipment & Monitoring:

  • Respiratory therapy equipment: nasal cannula to ventilators; RNs troubleshoot
  • Telemetry: Draeger heart monitoring with centralized telemetry; RNs read and interpret strips (no telemetry techs)
  • Invasive lines and monitoring: CVPs, arterial lines, Swan-Ganz catheters, EV-1000, ICP monitoring (training provided)
  • Other equipment: Zoll Thermoguard (hypothermia protocol), Bell Mont rapid transfuser

Clinical Responsibilities

• Certifications Required: BLS, ACLS, NIHSS
• Experience Required: Minimum 2 years of ICU/unit experience
• Drip Management: RNs are required to titrate drips including vasopressors, paralytics, narcotics, sedation, and antiarrhythmics
• Charge Nurse: Present on each shift; participates in Rapid Response Teams (RRTs) and Codes
• Support Staff: Patient care techs/nurse aides present at a ratio of 1:18
• Floating: Nurses will float to all inpatient units except Maternity and NICU

Policies & Requirements

• Fingernail Policy: Artificial nails are prohibited in all patient care areas; refusal to comply may result in contract termination
• Examination: RN candidates must pass a Friday orientation exam with a minimum score of 90% (open book, resources provided); failure results in termination
• Driver’s License: Required at submission to verify candidate is within a 50-mile radius
• Employment Restrictions: Candidates may not be currently employed full-time, part-time, or PRN with any facility associated with CommonSpirit (including CHI and Dignity)
• Return to Orientation (RTO): Required within 7 days or less from contract start; no additional RTO approvals

Work Environment

• Fast-paced tertiary hospital setting with fluctuating patient volume
• Emphasis on teamwork, critical thinking, positive attitude, and collaboration with attendings, fellows, residents, and student providers
• Manager creates schedule based on unit needs; weekend and holiday shifts required every other week or as needed

This position is ideal for experienced ICU nurses seeking a challenging and dynamic environment with opportunities to work with a diverse patient population and advanced clinical technology.