ICU RN

Position Description: Intensive Care Unit (Cost Center 4652), Beacon Kalamazoo, Kalamazoo, MI. Physical unit/department: Intensive Care Unit - Kalamazoo. Unit type: ICU.

Discipline: Registered Nurse. Specialty: ICU. Avg. daily census 15; 22 rooms; 22 beds.

Patient age groups: adults, geriatrics. Staffing ratios: days 1:2, nights 1:2, weekends 1:2. Shifts: 12-hour; days 07:00-19:30, nights (NOCS) 19:00-07:30; rotating shifts no.

Schedule

float required (float to like unit or lower acuity); weekend coverage every other. Unit systems: medication system Pyxis; documentation Cerner PowerChart; communication SBAR. Provider support: pharmacy, physical therapy, radiology, rapid response teams, respiratory services, social services, transportation.

Provider coverage in-house 24/7: intensivist (yes), hospitalist (yes); anesthesiologist not in-house 24/7 (no). Patient diagnoses: post STEMI, stroke, post NIL, trauma including MVA, overdose, DKA, sepsis, post surgical. Special procedures/unit details: seeking a motivated, compassionate critical care RN with 2 years' experience required in the specialty area.

RNs may take an assignment in one of three critical care areas or be floated to the ICU stepdown depending on census and need. The three critical care units are the surgical intensive care unit, Neuro ICU, and Cardiac ICU. BLS, ACLS, NIHSS required; TNCC, CRRT, balloon pump preferred.

Will need basic dysrhythmia testing competency. Special equipment: CRRT, balloon pump, Impella.

ACLS required, BLS required, NIHSS required; TNCC preferred, CRRT preferred. Work settings required: medical intensive care unit, neuro intensive care unit, surgical intensive care unit. Preferred: cardiovascular intensive care unit (CVICU), trauma intensive care unit.

Cardiac monitoring/emergency response required: interpretation of dysrhythmias, management of dysrhythmias. Preferred: management of patient with multisystem organ dysfunction/failure, obtain 12-lead EKG/ECG. Cardiovascular required: central venous pressure monitoring (CVP).

Preferred: coronary artery bypass graft (CABG), epicardial pacing wire care and management, Impella, intra-aortic balloon pump (IABP), post cardiac surgery (directly from OR), post cardiac surgery (not directly from OR), pre/post cardiac cath/intervention, pulmonary artery line/Swan-Ganz monitoring, sheath removal, TAVR, valve repair/replacement. Endocrine/metabolic required: IV insulin protocols. Gastrointestinal preferred: GI surgery.

Genitourinary/renal required: chronic/acute renal failure. Preferred: CVVHD/CRRT. IV therapy required: arterial line management, blood product administration, central line care/management, PICC line management.

Preferred: accessing/managing ports, starting and maintaining IVs. Medications required: continuous IV paralytics/neuromuscular blockade, continuous IV sedation, emergency medications, procedural sedation administration/monitoring, titrate cardiac drips, titrate vasoactive drips. Neurological required: CVA/acute stroke management.

Preferred: external ventricular drain (EVD), hypothermia protocol/Arctic Sun, ICP monitoring, lumbar drains, post craniotomy, post neurosurgery management, spinal cord injury, traumatic brain injury. Respiratory/thoracic required: BiPAP/CPAP management, care of ventilated patient, fresh tracheostomy, interpretation of ABGs, pulmonary edema, pulmonary embolism, respiratory failure, suctioning (ETT, NT), ventilator management.

Preferred: assist with chest tube insertion/removal, carbon monoxide poisoning, high flow nasal cannula (HFNC). Professional topics required: infection prevention, isolation precautions/PPE. Preferred: phlebotomy.

2 years required; patient ratio experience required 1:2; electronic documentation preferred (Cerner); Trauma Level II experience preferred. Other: accepts first-time travelers; scrubs color Caribbean Blue. Unit: ICU Position: RN

Nights Call

n/a Weekends: every other weekend Holidays: every other holiday Float: if needed #TB_RN