Description

American Traveler is hiring an experienced ICU RN for a 13-week night shift contract requiring strong critical care skills including EKG interpretation, vent management, and experience with complex cardiac and surgical patient populations.

Details

• Acute care hospital ICU setting within a Critical Care service line encompassing a 12-bed CVICU, 8-bed COVID ICU, 8-bed MS ICU, and a 16-bed PCU (up to 20 with double occupancy)
• Patient population includes COVID requiring manual proning, low-level neuro, EVD, DKA, sepsis, ARF, CRRT, rhabdomyolysis, post-MI, detox, chest tubes, art lines, Swan-Ganz catheters, Impella, TAVR, cardiac surgical, VAD devices, STEMI, PCI, CEA, and IABP
• Travelers with open heart surgery experience may be assigned fresh post-op open heart patients
• Nurse-to-patient ratios: 1:1–2 in the ICU based on acuity and staffing; 1:3–4 in PCU
• RNs are required to titrate critical care drips including pressors (levophed), paralytics, sedation (propofol), anti-arrhythmics, dopamine, heparin, and argatroban
• RNs must read and interpret their own telemetry strips; monitors are Nihon Kohden located in rooms and at the nurses' station; no monitor techs on unit
• Respiratory therapy equipment includes ventilators, BiPAP, CPAP, HFNC, Vapotherm, and Glidescopes used during intubation
• Intensivists are in-house 24/7 with NP supplementation; RT covers all areas but is not dedicated to the ICU 24/7; no nurse aides on the unit
• Charting system: Cerner
• 12-hour night shifts (7p–7a), 13-week contract
• Every other weekend required; weekend nights include Friday, Saturday, and/or Sunday depending on rotation
• First to float; may float to PCU, MST, and East Campus ICU/PCU per staff rotation
• Low-census call possible approximately once every 6 weeks; no scheduled on-call requirement
• Schedules are made 4 weeks in advance with some self-scheduling, subject to manager review and balancing

Requirements

• Active AZ RN license or Compact (NLC) RN license currently in hand; pending licenses not accepted
• Current BLS and ACLS certifications required; pending certifications not accepted
• Minimum 2 years of ICU experience required
• Strong EKG/dysrhythmia interpretation skills required
• Experience with ventilator weaning and troubleshooting required
• ABG interpretation skills required
• Experience with IABP and Prismaflex CRRT preferred
• Skills in EVD management, chest tubes, art lines, and Swan-Ganz catheters highly desired
• Must reside at least 50 miles from the facility (permanent address as shown on driver's license)
• Cannot have been directly employed (full-time, part-time, or PRN) by any CommonSpirit, CHI, or Dignity-affiliated facility within the past year; candidates employed PRN through outside staffing firms will be considered
• Two professional references required: one supervisor from within the last 12 months and one peer or supervisor from within the last 3 years, both including dates of employment and eligibility for rehire
• Copy of driver's license required for consideration

Additional Information

• Must pass the Relias Dysrhythmia exam with a score of 80% or higher within two attempts prior to contract confirmation
• A pass/fail sterile technique test for Foley catheter insertion and central line dressing changes is administered on the first day of orientation
• Failing either the Relias Dysrhythmia exam (after two attempts) or the sterile technique test results in a 6-month DNU status for CommonSpirit facilities in Arizona and the Sacramento, CA region
• Orientation consists of 8 hours of general hospital orientation, one 12-hour precepted shift on the unit, and a second 12-hour shift with a designated buddy; additional orientation may be provided for specialized skills such as open heart or CRRT
• Holiday coverage is required; travelers are expected to work one winter holiday and the eve of another
• Scrub color is open (any professional color, no camouflage); unit is transitioning to navy scrubs in October
• RTO of less than 7 days and no holiday requests are required for auto-offer consideration
• First-time travelers are not explicitly noted as welcome; significant ICU experience across multiple specialties is expected given rotation across all critical care areas