NICU

Night Shift - 36 1900-0700 Description: Description: RN - Neonatal

ICUAbout Facility: 247 Licensed BedsLevel 1

Pediatric Trauma CenterTeaching HospitalChest

Pain CenterCertified Stroke CenterRadius rule: Traveler s permanent address must be 50 miles outside of home unitUnit Information:Beds: 53 plus overflow; patient census on average is 58Required Experience: 2 years of strong Level 3 and/or Level 4 NICU experience. MUST be comfortable in a high acuity, fast paced environmentWill you accept a first-time traveler

Must have manager approval on first time travelers, as this will depend on current staffingPatient

Types/Common Diagnoses: Respiratory:Respiratory Distress Syndrome, TTN (Transient Tachypnea of the Newborn, MAS (Meconium Aspiration), Bronchopulmonary Dysplasia, etc.Cardiac:Congenital Heart Defects (TOF, VSD, HLHS), PDA, Persistent Pulmonary Hypertension of the Newborn (PPHN), etc.Neuro:Seizures, IVH, Hypoxic-Ischemic EncephalopathyGI/GU/Musculoskeletal/Endocrine:Necrotizing Enterocolitis (NEC), Feeding Intolerance, GER, Acute/Chronic Renal Failure, Birth Trauma, Congenital Anomalies, Sepsis, NAS, TORCH infections, Hypothermia, Hypoglycemia, etc.Patient Ratios:RN: Varies on acuity: 1:1, 1:2, 1:3

Required Licensure & Certifications: RN: BLS,

NRPSkills required: EPIC experience, EVDs, Camino device (ICP and temp monitoring device), management of critical care vasoactive drip titration, management of invasive lines ART lines/CVP, aseptic and sterile techniques, basic dressing changes, ventilator and trach management, HOFV management, oral/nasal suctioning, g-tube/j-tube management, feeding tubes, chest tubes, epidurals, PCAs, sedation and analgesic drip management, foley insertion and management, Alaris and Medfusion pump management, bedside procedures with providers, discharge skills, CRRT experience, baby side of ECMO (manager has been flexible on EVD, ICP, ECMO, and CRRT exp)Support within the Department:Unit Secretary every shiftCharge nurse, 24/7IV/VAT/PCVC Team, 24/7Resource NurseRT, 24/7Intensivist, 24/7Residents, in houseAPP, in houseCentralized and bedside Tele monitoringUnit Based Educators (AM and PM)Clinical Supervisors x 6Technology/Equipment:EMR: EPICIV Pump: Alaris and Medfusion syringe pumpsMed Dispensing: OmnicellMonitors: PhillipsEquipment: PIV

Ultrasound and

TecothermBreast Milk Scanning: MOMsFloating: If yes, where?Neonatal PCUGen Peds will float as needed to Pediatric CVICU, PICU, and general Peds unit as a helping hand unless they have prior experience in any of these populationsOrientation (facility and unit):NEO2 days departmentalScheduling:Weekend rotation: will be required to work 2 Fridays and 2 Mondays, plus every other weekend (Sat/Sun) every 6-week scheduleThe combination of the 2 Fridays, Saturdays, Sundays, and Mondays can be grouped together or worked separately as long as those eight (8) shifts occur within the 6-week periodNo call for travelers, if the NICU cannot utilize them, they may be floated to similar units as listed aboveHoliday Expectations: Travelers will work holidays as scheduledUnit requirement is the Eve and/or Day after holiday and day of holiday, every other holiday while contractedRTO: Manager approval would prefer travelers not have a significant amount of RTO needs, if they do they will need to extend contract to accommodateShift times: 0645-1915 and 1845-0715Schedule cycle: every 6 weeks based on unit needs after team schedule is completed/approved. Clinical Supervisor will provide dates of need.Other notes:Scrub Color: NavyDress Code: May wear long sleeve shirt if needed but must be solid Navy or White. No tight scrubs. Pediatric friendly scrub tops. Please refrain from wearing other organizational branded attire.Practice Guidelines: Bare Below Elbow in nurseries meaning no watches, permanent jewelry, rings real or plastic. No artificial nails.Parking: FreeUnit Culture: Teamwork, Trust, Accountability, Respect, compassionately hard working, open minded and flexible.Do not use a formal acuity tool

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