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? General Information o Beds: 15 bed Pediatric Unit; 5 Bed PICU o Experience required: 2 years PICU RN experience o Will you accept a first-time traveler? Yes, only if greater than 2 years of experience ?
Patient Types: o Will work through both Gen Peds and PICU o Pediatrics: Patients 0-18 years of age and adult overflow (stable medical - s/p appendectomy, s/p cholecystectomy, cellulitis, etc.). The diagnosis of these patients varies from respiratory illness, diabetes, septicemia, cellulitis, hyperbilirubinemia, neglect/abuse, mental health, trauma, neurology, and general surgeries. The general surgeries may include ear/nose/throat, gastrointestinal, urological, orthopedics, neurosurgery, and trauma. o PICU: Patients 0-18 years of age requiring critical or intensive care services.
The most common disease entities you may care for in our PICU include but are not limited to:?acute and chronic respiratory insufficiency, circulatory failure, infectious diseases leading to major organ system dysfunction, endocrine and metabolic disorders, neurologic diseases, toxic ingestions/exposures, trauma, hematologic and oncologic disease. ? Patient Ratios: o RN - ? General Pediatrics - 1:5 ?
PICU: 1:1 mechanically ventilated or titratable drip 1:2-3 stable PICU ? CNA utilized ? Required
o RN: BLS, PALS, NIHSS ? NRP is not required ? Required
o Completion of a nursing education program that is approved by a board of nursing; Registered Nurse (RN) - South Dakota Board of Nursing ? Skills required: o Physical assessment of patients, ages 0 - Adult o Evaluate patient symptoms and associated vital signs o Administer medications as prescribed o Educate patients and families on plan of care o Proficient use of EPIC charting system o PICU experience - ability to titrate drips and care for the mechanically ventilated patient. ?
Support on the Unit: o CNA (Ratio: 1:8) o Charge nurse: 1 charge nurse covers both units - free floating o Phlebotomy? RNs and Nurse Aids draw their own labs (Nas trained in phlebotomy to support RNs) o IV/VAT Team? RNs start their own IVs and have Ultrasound available for difficult IVs. o Resource Nurse: Nurse Clinician/Nurse Educator o Case Management and Social Work o RT: Yes o Hospitalist: 24/7 o Intensivist: Yes, in house during daytime hours, home call with 20-minute response time during night hours.
May stay the night in lounge right outside PICU if critical patients. o Additional Support: Pediatric Pharmacy, Pediatric Social Work and Case Management ? Charting System/Equipment: o EPIC o Omnicell o Equipment: Drager Vents ? Floating: If yes, where? o NICU - 30 bed - feeder/growers - 1:3 ratios o Gen Peds - must be comfortable to work in this department with ratios of up to 1:5 ?
Orientation: (facility and unit) o 1 day facility orientation to include online and in person training o 2 days unit orientation with preceptor (1 day PICU, 1 day Peds, 1 day NICU prior to floating) ? Scheduling: o Weekend rotation: Every other o Will they be on call? If so, what is that schedule?
May be placed on low census/on call o Holiday Expectations: All o Approval of time off? Only if pre-approved ? Other notes: o Culture: At home feeling, traveler friendly, Learn and Grow culture o Scrub Color: Navy o Free Parking?
Yes, in parking garage