Registered Nurse (RN)

Job Description

This position is primarily focused on supporting multiple patient units, including the Emergency Department (ED) holding unit, General Surgical Hospital (GSH) 1 Dally, River North, River South, and Float Pool Teams. The role requires a skilled and flexible nurse to provide high-quality patient care across various departments.

Unit Information

• MSICU: 40 beds
• CVICU: 10 beds (No specific CVICU experience required)
• PCU: 40 beds
• 2R PCU Observation: 18 beds (can increase to 27 during overflow)
• CCU: 30 beds
• Medical: 89 beds
• Surgical: 55 beds
• Flex Unit: 9 beds (consists of PCU and Medical-Surgical patients)
• Inpatient Rehabilitation: 47 beds across two floors
• ER Holding Unit: For patients waiting on a bed
• COVID Overflow: Unit for managing COVID-19 patients

Experience Requirements

• ICU: 2 years of ICU experience
• PCU/PCU ER Holds: 2 years of PCU experience
• Medical-Surgical: 2 years in an acute care setting
• First-time travelers are welcome

Patient Types and Common Diagnoses

ICU: Patients experiencing respiratory failure, GI bleeds, DKA, sepsis, complicated post-operative cases, cerebrovascular accidents (CVAs), post-arrest situations, ETOH, and IVDA. Higher-level therapies include Rotoprone, Manual Prone, Hypothermia Protocol, CRRT, and TPA.

PCU: Patients with respiratory compromise, sepsis, renal failure, and bleeding disorders, as well as general medical and surgical patients, including those with CHF, COPD, and pneumonia.

Medical-Surgical: General medical and surgical patients, oncology cases, and post-operative patients. COVID-19 cases are common within this unit.

Rehabilitation: Patients recovering from strokes, spinal cord injuries, traumatic brain injuries (TBI), multi-trauma incidents, and post-ICU recovery.

ED Holding Unit: This will be the primary focus for the traveler, with mixed diagnoses and a fast-paced environment. Ratios will be managed according to patient acuity.

Patient Ratios

• ICU: 1 nurse to 2 patients
• PCU and CCU: 1 nurse to 4 patients
• Medical and Surgical: 1 nurse to 5 patients
• Rehab: Team model with 1 nurse to 8 patients (includes LPNs and Techs)

Required Certifications

• ACLS, BLS, NIHSS for ICU and PCU
• BLS and NIHSS for Medical-Surgical

Essential Skills

The ideal candidate should possess:

• ICU: Expertise in cardiac rhythm interpretation, ventilator management, invasive line management, ostomy care, general drains, and tracheostomy care.
• PCU: Proficiency in cardiac rhythm interpretation, management of chest tubes, lumbar drains, tracheostomy care, and IV medication titration (including Amiodarone, Cardizem, Nitro, and Heparin).
• Medical-Surgical: Skills in IVs, patient-controlled analgesia (PCAs), chest tubes, drains, ostomy care, and IV antibiotics.

Department Support

• Tech support ratios: ICU 1:14, PCU 1:10, Medical-Surgical 1:8-10