RN – Medical ICU (MICU)

Specialty: Medical ICU (MICU)
Facility: Onvida Health Yuma Medical Center
State License: AZ
Certs/Licenses:
Years of Experience: 2 year(s)
Shift: 12H Nights 1845-0715
Guaranteed Hours: 36 hours per week
Description: Specialty: ICUFacility: Onvida Health Yuma Medical CenterState License: AZCerts/Licenses: Years of Experience: 2 year(s)Shift: 12H Nights 1845-0715Guaranteed Hours: 36 hours per weekDescription: Unit Notes:1/12 Starts (1/5 orientation full)Start Dates are not flexible.100-mile radius ruleEpic EMR proficiency required and recent No 48-hour guarantees.No blocked scheduling requests.No more than 5 days of RTO.Trauma level I/II of recent hospital experience required.NURSE PATIENT RATIOS: 1:1 or 1:2 (MedSurg ICU). If no vents/drips 1:3. # of Beds: 42 Required Certifications: BLS, ACLS, NIHSS. Common diagnoses/Types of patients: Cardiac-open heart, balloon, impella, tPA, TPE, core staff will do the specialties; keep small head bleeds, post tpa administration-if intervention-flown to Phoenix; Level 3 trauma- keep here. not necessary to have trauma exp=core staff that MUST HAVE vent, sedation, sepsis, pressors , DKA, cardiac, CHF, respiratory. Are RNs required to titrate drips: Yes Common titratable &/or set rate drips: Below is a list of common drips for this ICU. Please make sure traveler has well rounded experience with a variety of critical ICU drips. > Vasopressors: Epi, levophed, Phenylephrine, vasopressin. > Inotropes: dopamine, dobutamine, primacor. > Antiarrhythmics: amiodarone, cardizem, esmelol, lidocaine, procainamide. > Anti-hypertensives: Clevidipine, labetalol, cardene, Nipride, nitro. > Beta Adrenergic: Isuprel. Sedatives: Ketamine, Precedex, propofol, Versed. Paralytics: Vecuronium, Nimbex, rocuronium. > Analgesics: Fentanyl, morphine. Anticoagulants: Aggrastat, tPA, Argatroban, Heparin, Integrilin. > Additional: Insulin. Is there a Charge Nurse on each shift: Charge-free on both shift-go to codes, condition help (RRT). Are there nurse aids/patient care techs on this unit: PCA’s. Ratios typically 1-10. PCA’s can assist with: EKG, Blood sugar, procedures set up, I/O, ADL, lab draws (they are phlebs as well). Hospitalist &/or Intensivist in house 24/7: Intensivist 24 hours/day. Days: 2 MD’s and 1 NP. Nights: 1 NP/1 MD. RT in ICU 24/7: Yes, RT will do vents settings, intubate, and all abgs. RT Equipment: Vents, Cpap, BiPap, High Flow. RT and RN will assist MD with bedside trachs. Are there Tele/Monitor Techs on this unit: USR- Unit support person- does unit clerk and monitors tele. Have centralized tele monitoring, in each nurses station. Monitor in rooms as well. Shifts & Scheduling: 6:45-7:15 (3 min before and after grace period to clock in and out) MUST CLOCK OUT FOR LUNCH. Self-schedule, 4 requested days off in a 4 week period, blocks not guaranteed, but try to work with traveler as much as possible to accommodate requests. Weekend Requirements: 4 weekend shift days in 4 week period required. Holiday Requirements: 2 major holidays required. Only require the holiday (not the eve) if Xmas. Is there a call or standby requirement?: No Floating Requirements:Yes, float to other units, only 4 patients instead of 6 patients though. Scrub Color: Navy Blue How many shifts of unit/department-specific orientation: One day NEO, one day with educator skills, competencies, procedures, one-day orientation on the floor. Cancellation Policy:Client may cancel hours equivalent to the weekly guaranteed hours for the assignment 36, 40, or 48 for a 13 week assignment. For all 26-week assignments, the cancellation policy will be doubled. Charting System:EPICsystem BSN Required:False License to Submit:Yes Trauma Level:2 Care Setting:Acute Division:Nursing Shift Notes:1845-0715 Required Certifications:ACLS, BLS, NIHSS