Registered Nurse - CVICU - Contract

Job Overview
Description:
RN needed with Open Heart experience!
REQUIRED:
*CABG
*Valve post op
*Impella
*IABP
*CRRT

**Targeted patient ratios are 1:2 for Critical Care/ 1:3 for Intermediate level patients on unit**

Must have the following requirements:
Pass an online EKG tele competency assessment before starting the assignment
BLS and ACLS through AHA. Vents, NIH, IV Start, ICP, Conscious Sedation - must be able to read and interpret strips
Associate's Degree in Nursing or BSN required.
Valid Ohio Registered Nurse License
2 year exp
EPIC exp required
Block scheduling cannot be guaranteed

Floating and Other Requirements:
Traveler will be first to float at Premier's discretion. Agency will float in/out of specialty clusters. It will be assigned a medically appropriate assignment or support the nursing care team of the unit floated to, including high-risk respiratory unit/COVID.
If assigned to MVH, this could include floating the main campus (Dayton), south campus (Centerville) less than 10 miles from Main Campus, and North Campus (Englewood) less than 15 miles from Main Campus.
Traveler must be available to work every other weekend/holiday.
Premier Health reserves the right to cancel 2 shifts due to low census per 13-week contract.
Premier Health reserves the right to cancel the agreement with 2 weeks' notice without fee or fine.
Travelers are not eligible for Premier health employee incentives.

Knowledge/Skills:
16-bed ICU unit.
310-bed hospital
Designated Neuro Unit for Ischemic strokes receiving TPA.
COVID positive patients
CRRT, 24-hour EEG, Hypothermia post Cardiac Arrest, Prone patients
AMC is a Level III Trauma Center
They provide Family Centered Care and do not restrict visiting hours.
Customer Service is a top priority.

• Previous Charge Experience:
  Preferred
• Years of Experience:
  2 year(s)
  Note: 9/8/2023-TNCC not required as of 9/8/2023
• Patient Ratio Experience:
  1:3
• Charting System:
  Required, Epic
• Teaching Hospital Experience:
  Preferred
• Community Hospital Experience:
  Preferred
• LTAC Experience:
  Preferred
• Trauma Level I Experience:
  Preferred
• Trauma Level II Experience:
  Preferred
• Travel Experience Required:
  No
• Certfications:Certs marked with * are preferred
  ACLS, BLS, NIHSS*, TNCC*
• Skills:Skills marked with * are preferred

  IV therapy

  Accessing/Managing Ports*
  Arterial line management
  Blood Product Administration
  Central line care/management
  PICC line management
  Starting and maintaining IVs

  Oncology

  Administration of chemotherapy*

  Respiratory/Thoracic

  Assist with Chest Tube Insertion/Removal
  BiPAP/CPAP management
  Care of Ventilated Patient
  High Flow Nasal Cannula (HFNC)
  Interpretation of Arterial Blood Gases (ABGs)
  Suctioning (ETT, NT)
  Ventilator Management

  Genitourinary/Renal

  Chronic/Acute Renal failure

  Medications

  Continuous IV sedation
  Procedural Sedation Administration/Monitoring
  Titrate Cardiac drips
  Titrate Vasoactive drips

  Neurological

  CVA/Acute Stroke management
  External ventricular drain (EVD)*
  Hypothermia protocol/Arctic Sun
  ICP monitoring*
  Post Neurosurgery management
  Spinal cord injury
  Traumatic Brain injury

  Gastrointestinal

  GI surgery

  Professional Topics and Skills

  Infection Prevention
  Isolation Precautions/PPE
  Phlebotomy

  Cardiac Monitoring and Emergency response

  Interpretation of dysrhythmias
  Management of dysrhythmias
  Management of patient with multisystem organ dysfunction/failure

  Cardiovascular

  Intra-Aortic Balloon Pump (IABP)*
  Post Cardiac Surgery (directly from the OR)*
  Post Cardiac Surgery (Not directly from the OR)
  Pre/Post Cardiac Cath/intervention
  Pulmonary Artery Line/Swan Ganz monitoring*
  Sheath Removal
  Transcatheter Aortic Valve Replacement (TAVR)*

  Endocrine/Metabolic

  IV insulin protocols

  Work Settings

  Surgical Intensive Care Unit

Unit Details

• Staffing & Scheduling
• Scheduling Type:
  Self
• Patient Ratios:
  Days: 1:2
  Nights: 1:2
  Weekends: 1:1
• Float Required:
  Yes
• Call Required:
  -
• Weekend Coverage:
  Every Third
• Number of Weekend Shifts Per Contract:
  We offer every third but we work with those who prefer every other weekend.
• Pre-Approved Time Off:
  2 Requests
• Orientation Hours:
  48
• Facility & Patient Care Details
• Patient Age Groups:
  Adolescents, Adults, Geriatrics
• Daily Census:
  24
• Number of Visits Per Day:
  1
• Number of Rooms:
  26
• Number of Beds:
  26
• Additional Unit Information
• Interdisciplinary Support:
  IV Teams, Physical Therapy, Respiratory Services, Interpretation Services, Phlebotomy, Radiology, Social Services, Rapid Response Teams, Pharmacy, Transportation, Unit Secretary
• Patient Diagnoses:
  Diabetes
  Respiratory illness
  Uncontrolled Blood pressure
  Dialysis needs
  Homodynamic instability
  Electrolyte imbalances
  Infections/pneumonia/UTI
  Falls
  Stroke
  Cardiovascular illnesses
• Special Procedures/Unit Details:
  Cardiac surgeries
  Open heart
  Lungs/Thoracotomy
  TR bands/Stents
• Special Equipment:
  Balloon pumps
  Ventilators
  Lift equipment's
  CRRT machines
  Chest tubes/drains