Description

American Traveler is hiring an experienced RN for a CCU/ICU position at a Critical Access Hospital requiring a minimum of 3 years of CCU experience and the ability to manage vents, drips, and RT equipment independently on nights.

Details

• Critical Access Hospital (CAH) acute care setting with a 6-bed CCU unit that flexes to accommodate MedSurg/Peds patients as needed
• Trauma Level 4 facility
• Common patient diagnoses include CHF, pneumonia, COPD, sepsis, and DKA; providers perform procedures such as central line insertions, thoracentesis, and paracentesis at bedside
• Nurse-to-patient ratio goal is 1:2 but may be up to 1:4 depending on acuity and MedSurg/Peds census
• RNs are required to titrate drips; common titratable drips include Cardizem, insulin, and norepinephrine
• RT equipment on unit includes CPAP, BiPAP (V60), Vapotherm, and Hamilton ventilator; on nights and weekends, CCU nurses manage BiPAP, vents, and other RT-related items without dedicated RT coverage
• CCU nurses are responsible for monitoring telemetry on the unit; nurses cannot leave the area without coverage in place
• No hospitalist or intensivist in-house; patients are followed by private physicians, with the ER physician responding to emergencies and codes
• Charge Nurse oversees both MedSurg/Peds and CCU; House Supervisor is based out of the ED and covers the whole hospital
• Charting system: MEDITECH
• Night shift, 12-hour shifts (3x12), starting at 7 PM
• 6-week cyclic scheduling; schedule accommodations are considered but block scheduling is not guaranteed
• Every third weekend required, including Fri/Sat/Sun (flexible to Sat/Sun/Mon if needed)
• Floating to MedSurg/Peds is required; cross-training to behavioral health and ER is optional but welcomed

Requirements

• Active Iowa (IA) or Compact RN license required
• Current certifications required: BLS (AHA) and ACLS (AHA)
• Preferred certifications: TNCC, NIHSS, and PALS
• Minimum 3 years of CCU experience required
• Minimum 1 year of travel nursing experience required
• CAH experience is accepted but not required
• Experience managing vents, BiPAP, and respiratory therapy equipment required
• Must reside within a 50-mile radius of the facility
• BSN not required

Additional Information

• Orientation consists of two 12-hour shifts (24 hours total)
• Holiday coverage required — 1 major and 1 minor holiday depending on the season of the contract
• Scrub colors: grey, black, pink, or white in any combination
• Candidates should be prepared to participate in and support ongoing unit quality projects and initiatives
• Med drawer keys are shared among staff; a physical key must be checked out from the Pyxis at the start of each shift and returned at the end — failure to return the key may result to a replacement fee
• Nurse aides are available on the unit; goal ratios are 1:6 on days and 1:8 on nights, varying by census
• First-time travelers are not preferred; at least 1 year of prior travel experience is required