Intensive Care Unit Registered Nurse
Kearney, Nebraska
CHI Health Good Samaritan

ICU RN Position - Kearney, Nebraska

Contract Length

• 16 weeks

Department & Unit Details

• Unit: ICU
• Number of Beds: 33 beds (average daily census: 16)
• Nurse-to-Patient Ratio: 1:2-3 for adults
• Common Patient Diagnoses/Types:

  • Trauma
  • Cardiac conditions
  • Overdose/substance abuse
  • Adult sepsis
  • Post-stent and pacemaker placement
  • Stroke and vascular cases
  • Renal failure
  • Heart failure
  • Respiratory distress

Certifications Required

• BLS (Basic Life Support)
• ACLS (Advanced Cardiovascular Life Support)
• NIHSS (National Institutes of Health Stroke Scale)

Clinical Responsibilities

• RNs are required to titrate drips, including:

  • Cardiac drips
  • Insulin
  • Sedation
• Respiratory equipment involvement:

  • From nasal cannula to ventilators
  • RNs troubleshoot respiratory equipment but do not perform advanced respiratory therapy
• Monitor/Telemetry:

  • RNs must read, interpret, and document cardiac monitor strips
  • Monitors are GE brand with telemetry tech oversight

Support Staff

• Nurse Aides available based on census; assist with 1:1 patient care or floor support
• Healthcare Support Tech present 3 days per week (Monday-Friday, 0800-1630)

Scheduling & Shifts

• Shift options:

  • 0630-1830 (day shift)
  • 1830-0630 (night shift)
• Self-scheduling allowed for core staff and travelers
• Block scheduling generally not approved except possibly weekends only
• Weekend requirement: every other weekend
• Holiday requirement: minimum of 2 holidays during contract
• Orientation: 1 shift of unit/department-specific orientation
• Return to Orientation (RTO) required upfront if less than 7 days for a 13-week contract; no additional RTO approved

Additional Policies & Notes

• Candidates must have a valid driver's license at submission to verify distance within 50 miles radius
• Candidates cannot be currently employed full-time, part-time, or PRN with any facility associated with CommonSpirit (including CHI and Dignity)
• Fingernail policy: Artificial nails are prohibited in all patient care areas; refusal to comply results in contract termination
• RN exam during orientation: Pass/fail open book exam on skills learned; must score 90% or higher or face termination
• Floating assignments typically to PCU, occasionally MedSurg with typical patient ratios (1:4 or 1:5)
• Duo scheduling or shared carpooling requests are not accepted