ICU

Days Description: Simplifi Clincial Interviewing-Will be Mainly ED-HOLD FLOATINGMainly Supporting GSH 1 Dally/2 River North and South/Float Pool Teams.Unit Information:Beds: varies depending on unit. See units below:MSICU: 40 bedsCVICU: 10 (no specific CVICU experience needed, just added for bed count visibility)PCU: 40 beds2R

PCU Obs: 18 Beds OBS South when open for overflow can increase to 27 total bedsCCU: 30 bedsMedical: 89 bedsSurgical: 55 bedsFlex Unit: 9 beds (consists of PCU and MS patients)Inpatient Rehab: 47 beds on two floorsER holding unit (Patients waiting on a bed)Any COVID overflowMinimum Years of Experience required?ICU: 2 years of ICU experiencePCU/PCU

ER holds: 2 years of

PCU experienceMS: 2 years in acute care settingWill you accept a first-time traveler

YesPatient Types/Common Diagnoses: ICU: 14 bedsRespiratory Failure, GI Bleeds, DKA, Sepsis, Complicated Post-operative Patients, CVA s, Flap surgeries, Post-Arrest, ETOH,

IVDAHigher Level Therapies: Rotoprone, Manual Prone, Hypothermia Protocol, CRRT, TPA, Flap Surgeries (will not take these patients)No craniotomies, major traumas, or major cardiothoracicPCU: 40 beds: 2R Obs 18 bedsRespiratory compromise, Sepsis, renal failure, bleeding disorders, general medical/surgical patients, CHF, COPD, Pneumonia, General, ortho casesMed-Surg: Medical: 89 beds Surgical: 55 bedsMS Oncology:Oncology: Neutropenic, post-opPsychGeneral

Medical Surgical: post-op, COPD, CHF, Sepsis, DVT, AKI, Dialysis, COVIDCOVID is common on this floor.MS Ortho:Total joints, post-surgical patients, general medical overflowMS Palliative:General Medical: pneumonia, sepsis, CHF, COPD, AKI, DVT, PE, occasionally surgical, COVIDRehab: 47 beds on two floorsNeuro: Stroke, Spinal Cord injury, TBI, Multi-Trauma, Post Covid, Post ICUVents, Traches are on the unitRespiratory therapy works to give just in time trainingMed-Surg level acuity type patientsED HoldingThis will be the primary unit the traveler will be working (per NM 1/21/2025)Will have mixed diagnosisICU patients 1:2; PCU 1:4; MS 1:5ICU PCU nurses will have a 1:5 assignment if MSWill have isolation patients, non-ambulatory patientsIs a fast-paced unitTraveler will need to be flexible and resourcefulACLS TransportThis RN will transport patients throughout the entire hospital. This would include all inpatient units, ED, CT, MRI, Nuc Med, PACU, Cath Lab, etc.Night shift ACLS RN. After 2300 the transports slow down and at that time we want the ACLS RN to go down to ED Holds Area and be a resource to help assist that unit with breaks, med administration, etc when they are not transporting someone. Typically, the day shift ACLS RNs start getting busy right at 0730-0800 and never slow down the rest of the day.Patient Ratios:ICU 1:2 based on acuityPCU and CCU 1:4 depending on acuity or if patient dischargingMedical and Surgical 1:5If PCU floated to MS- will have a 1:5 ratioRehab: 1:8 team model (RN, LPN, Tech)Required License, National Certification, Certs:ICU: ACLS, BLS,

NIHSSPCU: ACLS, BLS, NIHSSMedSurg: BLS,

NIHSSSkills required: ICU: Cardiac rhythm interpretation, Vent management, invasive line management, ostomy, general drains, trachsPCU: Cardiac rhythm interpretation, Chest tubes, lumbar drains, traches, required IV med titration (Amiodarone, Cardizem, nitro, dopamine, dobutamine, non-DKA insulin, heparin; sometimes Cardene)Med-Surg: IVs, PCAs, Chest Tubes, drains, ostomies, IV ABXAll clinicians must also have good communication and patient teaching/education skillsSupport within the Department:TechsICU: 1:14PCU: 1:10MS: 1:8-10RT 24/7Hospitalist 24/7Intensivist 24/7Technology/Equipment:EMR: EPICIV Pump: AlarisMed dispensing: PyxisFloating: If yes, where?Could float for partial shiftsWill float within scope of practice and belowOrientation (facility and unit):2 days of hospital orientation: login access, modules, etc.1 day on assigned unitTraveler

Program name: SimpliFi

Travel :96