Description

American Traveler is hiring a Registered Nurse for a Nursing Float Pool ICU position at a Level III Trauma Center, requiring 2+ years of ICU experience and a WA or compact RN license.

Details

• >Level III Trauma Center with 375 licensed beds
• Position is part of the Nursing Float Pool, floating across ICU, PCU/CCU, Med-Surg, Rehab, and ED Holding units based on need
• Primary assignment is expected to be in the ED Holding unit, which handles mixed-diagnosis patients including ICU, PCU, and Med-Surg level care
• ICU patient population includes respiratory failure, GI bleeds, DKA, sepsis, complicated post-op patients, CVA's, flap surgeries, post-arrest, ETOH, and IVDA cases
• Higher level ICU therapies include Rotoprone, manual prone positioning, hypothermia protocol, CRRT, and TPA administration; does not accept craniotomies, major trauma, or major cardiothoracic cases
• PCU population includes respiratory compromise, sepsis, renal failure, bleeding disorders, general medical/surgical, CHF, COPD, pneumonia, and ortho cases
• Med-Surg units cover oncology, ortho, and palliative patient populations including post-op, COPD, CHF, sepsis, DVT, AKI, dialysis, and COVID cases
• Rehab unit cares for neuro patients including stroke, spinal cord injury, TBI, multi-trauma, and post-COVID/post-ICU patients, including vents and tracheostomies
• Patient ratios: ICU 1:2, PCU/CCU 1:4, Medical/Surgical 1:5, Rehab team model 2:8 (RN, LPN, Tech)
• In ED Holding, ratios are ICU 1:2, PCU 1:4, and MS 1:5 depending on assignment
• May also work ACLS Transport duties, transporting patients throughout the hospital including ED, CT, MRI, Nuc Med, PACU, and Cath Lab
• Night shift ACLS RNs assist in the ED Holding area after 2300 when transport volume decreases
• 12-hour day shifts, 36 hours per week
• Uses EPIC EMR (required), Alaris IV pumps, and Pyxis medication dispensing system
• May float for partial shifts within scope of practice

Requirements

• Active WA or compact RN license required
• BLS certification required for all units
• ACLS and NIHSS certification required for ICU and PCU assignments
• NIHSS certification required for Med-Surg assignments
• Minimum 2 years of ICU experience required for ICU assignments
• Minimum 2 years of PCU experience required for PCU/PCU ER holds assignments
• Minimum 2 years of acute care experience required for Med-Surg assignments
• ICU skills required: cardiac rhythm interpretation, ventilator management, invasive line management, ostomy care, drain management, and tracheostomy care
• PCU skills required: cardiac rhythm interpretation, chest tube management, lumbar drain care, tracheostomy care, and IV med titration (Amiodarone, Cardizem, nitro, dopamine, dobutamine, non-DKA insulin, heparin, occasionally Cardene)
• Med-Surg skills required: IV management, PCA management, chest tube care, drain care, ostomy care, and IV antibiotic administration
• EPIC EMR experience required
• Strong communication and patient teaching/education skills required
• First-time travelers are welcome to apply

Additional Information

• Support staff includes techs at ratios of 1:14 (ICU), 1:10 (PCU), and 1:8-10 (Med-Surg)
• 24/7 support available from respiratory therapy, hospitalists, and intensivists
• Orientation includes 2 days of hospital orientation (login access, modules, etc.) plus 1 day on the assigned unit
• Traveler telemetry competency required as part of orientation
• Phones are not permitted on the unit; scheduled breaks are required
• Scrubs may be any color except camouflage and must maintain a professional appearance
• ED Holding unit is fast-paced, requiring flexibility and resourcefulness from the traveler
• Candidates should be prepared to work with isolation and non-ambulatory patients in the ED Holding unit
• Rehab unit staff receive 'just in time' training from respiratory therapy for ventilator and tracheostomy care as needed