ICU/CCU Critical Care RN
Downey, California
PIH Health Hospital - Downey

Registered Nurse Travel/Contract Position

Location: Downey, California
Specialty: Registered Nurse (RN)
Employment Type: Travel/Contract
Contract Length: 8 weeks (with option to extend)

Job Description

• ICU/CCU Nights
• Every other weekend required
• Possible float to DOU, Telemetry, or Med Tele units
• Minimum 3 years of experience required
• HARD START on 12/15

Required Certifications

• ACLS (Advanced Cardiac Life Support)
• BLS (Basic Life Support)
• CPI (Crisis Prevention Institute) or MAB (Management of Assaultive Behavior) or VIP (Violence Intervention Program) with physical, in-person portion required within 90 days of start
• NIHSS (NIH Stroke Scale Certification)

Required Skills

• FloTrac/Vigileo monitoring
• Interpretation and management of dysrhythmias
• Multi-system organ failure management
• Obtain 12 lead EKG
• IV insulin protocols
• Chronic/Acute renal failure care
• Accessing ports
• Arterial line management
• Blood product administration
• Central line and PICC line care/management
• Starting IVs
• Continuous IV paralytics/neuromuscular blockade and sedation
• Emergency medications and procedural sedation administration
• Titration of cardiac and vasoactive drips
• CVA/Acute stroke management
• Hypothermia protocol/Arctic Sun
• Assist with BiPAP and CPAP management
• High Flow Nasal Cannula (HFNC)
• Interpretation of ABGs
• Suctioning (ETT, NT)
• Ventilator management and care of ventilated patients
• Infection prevention and isolation precautions (PPE use)
• Phlebotomy
• Surgical wounds with drains/Wound Vac care
• Assist with chest tube insertion/removal

Work Requirements

• No Return to Office (RTO) allowed during first 2 weeks of assignment
• Maximum 3 days RTO allowed for entire contract
• Must be willing to work holidays
• RTO requests are final once submitted (can only be canceled, not changed)

Compliance & Documentation Requirements

Background Checks

• 7-year criminal background check within 90 days
• EPLS/GSA/SAM and HHS/OIG checks (updated monthly)
• Education verification (highest level required)

Competency Exams

• Medication/Pharmacology competency exam (passing score 80%)
• Dysrhythmia/EKG competency exam (advanced level required for ICU/telemetry/ED)
• Fetal monitoring competency exam for L&D RNs (if applicable)

Health & Immunization Requirements

• Physical exam within 1 year, free of communicable disease, able to perform duties
• Fit mask test within 1 year (annual renewal) for applicable units
• TDAP vaccine within 10 years or declination form
• Negative TB test or chest X-ray within 1 year
• Annual TB questionnaire
• Measles, Mumps, Rubella, Varicella: positive titer or 2 lifetime vaccines (boosters allowed)
• Hepatitis B vaccine series, positive titer, or declination
• Negative 7-panel drug test within 30 days of start (instant acceptable)
• Seasonal flu and COVID vaccination or facility-specific declination required during flu season (Nov 1 - Mar 31)

Facility Specific

• Photo for badge (white background, shoulders up) required (not for per diem)
• Completion of prestart Oracle modules by 5 PM on first Monday of assignment
• Interim Life Safety Measures training prior to start

References & Employment History

• 2 professional references from manager or above (clinical candidates) within 2 years
• Employment application/resume with at least 1 year relevant experience and 7 years work history if applicable
• Skills checklist updated annually (not required for non-licensed workers)

Notes

• Onsite pass/fail dysrhythmia/EKG testing required; no remediation or retakes allowed
• VIP, MAB, or CPI with physical in-person portion must be completed within 90 days if not current at start
• Candidates with beards must shave for mask fit test unless religious exemption is provided
• RTO (request time off) must be submitted with application; no changes allowed after submission except cancellations

This position is ideal for experienced ICU/CCU RNs comfortable with critical care skills, flexible scheduling, and working nights with weekend coverage.