Registered Nurse - ICU Job Macon area,Georgia USA,Nursing

RN - ICUAbout Facility:

o 637 licensed beds
o Level 1 Trauma Designation
o Teaching Hospital
o Chest Pain Center
o Stroke Center

Unit Information:

o Beds: 14
Average census: 14
o

Experience:

2+ years ICU RN experience
o First-time travelers welcome

Patient Types/Common Diagnoses:

o Medical ICU patients
o Common diagnoses: respiratory failure, renal failure, sepsis, GI Bleed, DKA, hypotension, hypertension, stroke, pneumonia, cancer, ARDS, overdoses
o Chronic ventilators and chronic trachs
o Hemodynamically unstable patients requiring invasive monitoring and/or close observation

Patient Ratios:

o RN: 1:1-2 (rarely but possible
3)
o CNA: 1-2 per shift

Required License, National Certification, Certs (BLS, ACLS, etc.), or other position specific requirements such as Driver's License and/or Insurance:

o NIHSS, BLS, and ACLS certification required
o CCRN (critical care nursing certification) preferred but not required

Skills required:

o trach chare, chest tube management, PIV starts, glucommander, insulin drips, heparin drips, drips to titrate to HR and BP
o Management of vasoactive medications
o Monitoring and management of invasive lines i.e. arterial lines, central venous lines, pulse oximetry, intracranial pressure monitoring
o Assist/management of a variety of bedside procedures i.e. chest tube placement/management, tracheostomy, peg tube placement
o TABLO
o Management of patients on ventilator support

Support within the Department:

o CNA duties:
Yes - assist with VS, Glucose Checks, baths, feeding, ambulating patients, assisting turning patients, hourly rounding, transporting patients as needed (Hospital has designated Transport Team); obtain blood from blood bank
o Unit secretary/HUC:
Unit secretary on unit 7a-11p; then house wide call secretary 11p-7a
o Charge nurse - may have patients
o Phlebotomy:
Most units are lab collect phlebotomy; nurses drawn from CVLs
o IV/VAT team:
Not an IV team - do have a PICC team
o Resource nurse:
Yes, we have discharge nurses, resource team floats to all units
o RT 24/7: yes
o Hospitalist 24/7: yes
o Intensivist 24/7: yes
o Telemetry monitor tech:
Central Telemetry Unit

Technology/Equipment:

o EMR: EPIC
o IV Pump:
Alaris
o Med dispensing:
Pyxis
o Monitors:
Phillips
o Unit specific equipment:
- VS3 vital sign monitors, Nova Glucose Stat Strips
- Belmont Rapid Infuser
- TABLO
- PCA pain management
- SCD's (sequential compression devices)
- Cooling and heating blankets-devices

Floating:

o All adult ICU units in house including PCU

Orientation (facility and unit):

o 1 day orientation with work on educational modules
o 2 days departmental

Active state license in good standing; minimum 1 year of recent experience in the specialty; BLS, ACLS required for clinical roles; references upon request