RN – Medical ICU (MICU)

Specialty: Medical ICU (MICU)
Facility: Mercy San Juan Medical Center
State License: CA
Certs/Licenses:
Years of Experience: 2 year(s)
Shift: 12H Nights 12hr Nights, EOW, First to Float
Guaranteed Hours: 36 hours per week
Description: Specialty: ICUFacility: Mercy San Juan Medical CenterState License: CACerts/Licenses: Years of Experience: 2 year(s)Shift: 12H Nights 12hr Nights, EOW, First to FloatGuaranteed Hours: 36 hours per weekDescription: Unit Notes:Med Sol prescreensneed 2 sup refs from modality submitting to (charge accepted) at submittal; 1 w/in 12 mo. & 1 w/in 3 years workedEnter Preceptor Hourly Rate in TAA Notes. See offer email for details***PRIOR TO SIGNING THE CONTRACT, THE DYS EXAM THROUGH UNA IS REQUIRED AND MUST BE COMPLETED WITHIN 24-48 HRS. IT S PASS OR FAIL AND THEY GET 2 ATTEMPTS (TEST A SHOULD BE ASSIGNED FIRST, TEST B SHOULD BE ASSIGNED FOR THE RETAKE). A SCREENSHOT SHOWING THE NUMBER OF ATTEMPTS IS REQUIRED. **We can accept a Dys exam within the last 12mo if the traveler has previously taken** If your traveler fails the 2nd attempt, they will be made DNU for CommonSpirit AZ and SacUnitRICU possible float to CSICU (Cardiac skill preferred, but if not held will only operate within scope) # Beds11 MICUNurse:Patient Ratios1:1-2Required Certifications (i.e., BLS, ACLS?)BLS, ACLSCommon diagnoses/Types of patientsARDS, Sepsis, Chronic vent, ETOH withdrawal, DKA, CRRT, therapeutic hypothermia, IABP. Line placements and intubations are common.Experience or ‘Must have’ skillsCRRT experience preferred (Next Stage). Per email from Suzanne, Doesn’t need extensive CVICU experience, however, unit prefers to have someone with cardiac skill. Are RNs required to titrate drips?YesCommon titratable &/or set rate dripsVasoactive Medications, Sedation Medications, Heparin, InsulinCharge Nurse/House Supervisor? Does the charge nurse take an assignment?Charge Nurse or Nurse Shift Manager; Generally does not take patients. 4 Nurse Shift managers on staff. Relief charges 1 shift per week. Are there nurse aids on this unit/RatiosYes, only as Safety Attendants (sitters). Primary Nursing.Hospitalist or Intensivist in houseBoth 24/7RT in ICU 24/7Not in ICU but RT In house 24/7.RT Equipment (vents, Cpap, BiPap, etc)Vents (Drager, Hamilton), CPAP, BIPAPAre there Tele/Monitor Techs on this unit? Are RNs required to read their own strips? What brand are the tele monitors?Yes- during the day, Nurses must be able to read and interpret EKG strips. Phillips monitors.Shifts & Scheduling (Do you allow self-scheduling? Block scheduling?)12 hr shifts. Shift 645-1915 or 1845-0715. Report is at the bedside. OT and extra shifts are available. Self-scheduling is used, but is not finalized until Manager balances it. Schedules are out 4 weeks. Travelers can access their schedules from home and make themselves “available” for extra shifts and make trades with other staff. Block scheduling is generally not available.Weekend RequirementsEvery other weekendHoliday RequirementsRotate in with core staffIs there a call or standby requirement?NoFloating RequirementsMay float to CSICU-only operate within scope and all critical care like units. To all 5 Sacramento facilities- see details on General Info page. Mid-shift float to another facility is rare, but can happen. Travelers are first to float. Scrub Color/Dress CodeNavy – under shirts must be navy, white, or black. Scrub jackets are optional, must be navy.Unit/Department specific orientation2 shifts in Medical ICU. 1 shift in Trauma, Neuro, and Surgical ICUs. Additional NotesPharmacy in house 24/7. ICU Pharmacy open during day shift. Cancellation Policy:Hospital can cancel up to 4 shifts per 13-week assignment, 3 shifts for assignments that are less than 13 weeks Charting System:Cerner BSN Required:False License to Submit:Yes Trauma Level:2 Care Setting:Acute Division:Nursing Shift Notes:12hr Nights, EOW, First to Float Required Certifications:ACLS, BLS, NIHSS