RN - ICU<. >
● About Facility:
o Community based hospital in urban area, High Point, NC
▪ 304 licensed beds
▪ Teaching Status: Interns, Residents, APPs, Nursing Students
▪ Chest Pain Center Accredited from American College of Cardiology
▪ Stroke Center designated by TJC: Primary Stroke Center
● Unit Information:
o Beds: 20
▪ Average Daily Census = 18
o Minimum Years of Experience required? 1 year ICU experience
o Will you accept a first-time traveler? Yes
● Patient Types/Common Diagnoses:
o General medical patients requiring advanced hemodynamics and continuous monitoring of cardiac, respiratory, hemodynamic and neurologic status
o Respiratory compromise or failure requiring medium or high flow oxygen devices, NIPPV or ventilator support
o Renal Failure with CRRT capabilities
o Severe Sepsis with hemodynamic instability and IV resuscitation
o General, Vascular, or thoracic surgical patients requiring continuous cardiac, respiratory or hemodynamic support include pharmacological vasopressor support
o Cardiac arrest requiring targeted temperature management
o Neuro – Medical cases Stroke with or without Tenecteplase (TNK) or Traumatic Fall with some neurosurgical intervention (EVD management or ICP monitoring)
o DKA/HHNK – Insulin drips with Endotool titrations
● Patient Ratios:
o RN: ICU Level of care is 1:2; Special high acuity of RN 1:1 care (organ procurement or CRRT); Overflow patients waiting on stepdown Intermediate the RN to patient ratio is 1:3 or 1:4 depending on interventions.
o CNA: Varies and we do have Nurse Tech support.
o Charge Nurse is typically a “free” charge available to resource and assist.
● Required Licensure & Certifications:
o BLS, ACLS, NIHSS
● Skills required:
o Cardiac and hemodynamic monitoring, cardiac strip and rhythm interpretation, arterial lines, titration of drips, ventilator care (we have Respiratory Therapist 24/7), vascular lines, chest tubes, post procedure site care – trans radial bands, femoral venous or arterial sheaths, CRRT, post pulmonary artery thrombectomy (EKOS, Prenumbra, Inari)
● Support within the Department:
o CNA? Yes
o Receptionist/HUC? Varies – day shift only (8am-5:30pm)
o Charge nurse? Yes
o Phlebotomy? Varies
o IV/VAT Team? No
o Resource Nurse? No (Charge Nurse serves as Resource)
o Rapid Response Team? Yes
o RT 24/7? Yes
o Hospitalist 24/7? Yes
o Intensivist 24/7? Yes
o Telemetry monitoring? The RN is responsible for continuous cardiac monitoring including interpretation of the rhythm
● Technology/Equipment:
o EMR: EPIC
o IV Pump: Baxter
o Med dispensing: Omnicell
o Monitors: Philips Intellivue
o Unit specific equipment: CRRT-NxStage; Edwards Lifescience-Hemosphere/FloTrac for minimally invasive advanced hemodynamics; TTM – Artic Sun
● Orientation (facility and unit):
o Orientation – 36 hours week 1 includes NTO and Online CBL (Healthstream)
o 12-hour departmental specific orientation shift with an RN Preceptor
● Scheduling:
o Schedule cycle: Every 6 weeks
● Other notes:
o Scrub Color: Royal Blue
o Parking: Free
o Unit Culture: Positive Team focused (High Tech, High Touch); We work as ONE team.