ED Holding (board patients waiting for an inpatient bed); Other ICU's (MRICU, SICU, CICU, Neuro ICU); MSU (Ratio-1:3); Sitter; PACU Surge
***Manager is open to 36 or 48 contracts***
About Facility:
- Level II Trauma Center
- Level III NICU
- Magnet Designated
- Comprehensive Stroke Center
- Beds: 933
Unit Information:
- Beds: 30
- Census: Average patients/day:
Minimum Years of Experience required: 3 years of ICU experience with 1-year CVICU experience
- Will you accept a first-time traveler: Yes, as long as they meet above criteria
Patient Types/Common Diagnoses:
- Cardiac: Immediate post-op CABG, TAVR/TMVR, valve repairs/replacement, heart transplants, Pacemakers (epicardial, transvenous)
- Thoracic surgeries: Fresh post op esophagectomy, pneumonectomy, lobectomy
- Vascular: Fresh post-op AAA, TVAR, carotid endarterectomy
Patient Ratios:
- RN: 1:1, 1:2 if regular ICU status, 1:3 mixed status
- Tech: 1:8-10
Required License, National Certification, Certs:
Skills required:
- Competent in invasive line monitoring (Swan Ganz, a-lines), pacemakers (epicardial, TV), chest tubes, cardiac medications (inotropes, vasopressors, sedation/paralytics), ventilator/trach management, cardiac rhythm interpretation
- RN draw out of invasive lines; not allowed to do peripheral sticks
- EPIC experience
- Prefer travelers with specific CV surgical experience (ECMO, CVVH, IABP, VAD)
Support within the Department:
- Charge nurse, rarely with patient assignment
- HUC 24/7
- Dedicated CVICU Intensivist 24/7
- CT Surgeon on call 24/7
- Hospitalist onsite 24/7
- General Intensivist 24/7
- ICU Designated RT 24/7
- Bedside/nurses station telemetry monitoring, no tele tech
- Phlebotomy to assist with peripheral blood draws
Technology/Equipment:
- EMR: EPIC
- IV Pump: Alaris
- Med dispensing: Pyxis
- Monitors: Client
- Unit specific equipment:
Floating: If yes, where:
- ED Holding (board patients waiting for an inpatient bed)
- Other ICU's (MRICU, SICU, CICU, Neuro ICU)
- MSU (Ratio-1:3)
- Sitter
- PACU Surge
Orientation (facility and unit) :
- 1 day of orientation
- 2-4h of NEO with supervisor/nurse educator
- After NEO, will be placed on the unit with a preceptor
Scheduling:
- Weekend rotation: Every other
- On call: No
- Holiday Expectations: 1-2 per contract
- Approval of RTO: ok to approve up to 7 days
- Shift times: 0700-1900 or 1900-0700
- Schedule cycle: 6-week schedule. Will receive 1-2 weeks prior to schedule beginning
- AAH adheres to a "fatigue policy where all staff, including travelers, cannot work more than 60 hours in a week or 5 consecutive 12-hour shifts.
Other notes:
- Scrub Color: Any solid color, professional. No graphics, logos, or designs
- Parking: Free
- Day: 1-2 block, has shuttle service
- Nights: Attached parking structure