Registered Nurse - MICU

ICU Registered Nurse Opportunity

Holidays are required. No RTO in first two weeks of assignment. All RTO must be presented prior to offer. If RTO received after offer, it must be discussed with manager on site. Pending MI license is OK. Need concrete ETA at submission and proof of application BLS (AHA), ACLS (AHA), NIH. 1+ year recent ICU experience. 1st timer OK! Patient ratios are 1:1-4.

Our ICU is PCU and ICU patients mix. PCU and Gen med/Transfer status can be in a 4:1 group based on acuity. PCU can also be in a 4-3:1 based on acuity. ICU and PCU can be in a mix of 3:1 based on acuity. Vent patients are in a 2:1. Cooling/CRRT/or high acuity will be in a 1:1 group.

Weekend requirement: will work every other weekend. Float requirement: will float to other ICU and Med Surg units - floating to med-surg as needed as census in the ICU flexes. The agency RNs will float in rotation with the Bronson MICU RNs to med-surg units. Typical nurse to patient ratios are approx. 1:5-7 pts per RN on the med-surg areas.

Patient diagnoses include COPD, Encephalopathy, Drug Overdose, DKA, AKI, Respiratory Failure, Cardiac Arrest, HF, A-fib.

Special procedures/unit details include CRRT, HD, A-Line placement, CVC placement, Trach placement, Chest tube placement.

Special equipment includes cooling machine, Bair Huggers, massive transfusions, CRRT.

Required skills include cardiac monitoring and emergency response: interpretation/management of dysrhythmias, multi system organ failure. Endocrine/metabolic: IV insulin protocols. Gastrointestinal: GI surgery. Genitourinary/Renal: chronic/acute renal failure, CVVHD/CRRT. IV therapy: arterial line management, blood product administration, central line care/management, PICC line management, starting IVs. Medications: continuous IV sedation, emergency medications, procedural sedation administration, titrate cardiac drips, titrate vasoactive drips. Neurological: CVA/acute stroke management.

Respiratory/thoracic: assist with management of BiPAP, assist with management of CPAP, care of ventilated patient, high flow nasal cannula (HFNC), interpretation of ABGs, suctioning (ETT, NT), ventilator management. Our unit has an average of 3 vents a day. Our ICU Dr will keep a patient ICU if they feel they do not want to hand off the patient, even though their acuity level is low.

In those cases we will put an ICU patient with a group of 3 or 4 if the patient is stable.