RN (Registered Nurse

Critical Care Unit Job Post

Unit Notes Prescreen + Auto Offer as long as RTO is less than 7 days and no holiday requests Clinician must take and pass dysrhythmia exam within two attempts prior to signing contract. If clinician fails to score 80% in two attempts, then they will be DNU for CS AZ and Sacramento for 6 months. Radius Rule: 50 miles AND candidates may not be full time, part time, or PRN with any facility associated with Common Spirit, including CHI and/or Dignity within the past year.

# Beds: CVICU- 12 bed COVID- 8 MS ICU- 8, PCU 16 (up to 20 with double occupancy rooms) All under the same Critical Care service line Nurse:
Patient Ratios: 1:1-2 In ICU per acuity/ staffing. PCU 1:3-4 Required Certifications (i.e., BLS, ACLS?): BLS ACLS Common diagnoses/Types of patients: COVID- manual proning, Low level neuro, EVD, DKA, sepsis, PN, ARF, CRRT, rhabdo, post MI, Detox, chest tubes, art line, SWAN( would like 3-4 on skills list for EVD, chest tubes, art line, swan). Surgical (quite a bit post surgical), Impella, TAVR, cardiac surgical, VAD devices( some), STEMI, PCI, CEA, CRRT, IABP, art line, swan, EVD.

Travelers will take fresh open heart patients if they have that experience and can check of skills. Nurses should be able to interpret ABGs.

Experience or 'Must have' skills: prefer IABP and Prismaflex CRRT experience. Must have good EKG reading skills. Weaning/troubleshooting vents. Travelers will be working all areas so they need to have experience.

Are RNs required to titrate drips?:
Yes Common titratable &/or set rate drips:
All critical care drips such as but not limited to:
Pressors-levo, paralytics, sedation- propofol, anti arrhythmics, dopa, heparin, argatroban. Charge Nurse/House Supervisor?:
Does the charge nurse take an assignment? Only as a last resort Try to have 2 charge nurses between ICUs and PCU. They will do Rapid response and code blue response. They sometimes have to take patients depending on staffing and census. House supervisor 24/7 with some exceptions.

Are there nurse aids on this unit/Ratios:
No Hospitalist or Intensivist in house:
Intensivists in house 24/7 on West campus. NP supplementation. RT in ICU 24/7: RT covers all areas but there is not one in ICU 24/7 RT Equipment (vents, Cpap, BiPap, etc) Vents- (Nurses should be able to troubleshoot and help wean), Glide scopes used during intubation and should be familiar with them. BIpap, cpap, HFNC, Vapotherm. Are there Tele/Monitor Techs on this unit?

No Are RNs required to read their own strips? Yes What brand are the tele monitors?:
Nihon Khoden Nurses monitor tele monitors. There are monitors in the rooms and at the nurses station.

Shifts & Scheduling (Do you allow self-scheduling? Block scheduling?): 7-7, Schedules made 4 weeks in advance. Some self scheduling but it is not finalized until the manager reviews and balances. First schedule will be filling in holes. Can ask for trades with other staff. Typically don't allow block scheduling. Weekend Requirements: 4 weekend shifts per pay period- weekend nights are Friday Saturday and day weekends are Saturday Sunday, this could mean a variation of these examples, every Sat Sun Mon for nights or Sun Mon Tues for days.

Holiday Requirements :
Winter holidays- 1 holiday and an eve of another holiday. Some holidays will be required but will not work all holidays. Is there a call or standby requirement?:
If low census, traveler could be placed on call. Maybe 1 time in 6 weeks. No scheduled call, would only be low census. Floating Requirements:
Will be worked in the float rotation with core staff - May float to PCU and MST if needed per staff rotations also to EC ICU/PCU if needed. Scrub Color/Dress Code:
Any color professional scrub. No camo scrubs. Will be going to Navy in October. Unit/Department specific orientation: 8 hours of general hospital orientation. 1-12 hour shift on the unit with a preceptor. 2nd 12 hour shift will have a buddy they can go to for questions. Unless special skills needing orientation. Ex and open heart surgery RN or CRRT, etc and needs that checkoff.