ICU

WASmaller Community Hospital in

Spokane ValleyGeneral Information: Years of experience: 2 years of ICU experienceWill you accept a first-time traveler

YesPatient Types: Will float between these areas and anywhere in the hospital within scope of practice3rd Floor: Medical/Surgical (44 Beds)Medical patients: COPD, CHF, Sepsis, AKI/CKD, DVT, PE, cellulitis, pancreatitis, ETOHSurgical/Ortho: total joints (knees/hips), GI (exploratory lap, hemicolectomy, bowel resection), GU (TURP, cystos, CBI), GYN (total/partial hysterectomy), podiatry,

ENTTelemetry capable: tele tech in addition to bedside monitoring2nd Floor: Acute Respiratory Floor (16 Beds):COPD, pneumonia, CHF, and other respiratory patientsHigh flow and BiPapRT office is next to this unit, and ICU is also next to this unit for quick response on declining patients.1st Floor: ED/MS Overflow:Observation and general MedSurgProgressive Care (combined with ICU 10 beds):The progressive care beds are inside of the Critical Care Unit. Traveler would only care for the PCU level patients, no ICU patients.Afib RVR, q4h checks, medical and surgical progressive care patients, no cath lab patients, no major cardiac surgeries, no major neuro surgeries, no major traumasIntensive Care (combined with PCU 10 beds):Vents, Sepsis, Respiratory failure, No Neuro on this unit, no cardiac patients requiring intervention (patients needing Cath lab will go to Deaconess)Patient Ratios:MedSurg: 1:5PCU: 1:3, no

CNA supportICU: 1:2-3 dependent on acuity, no CNA supportRequired

Licensure Certifications: ACLS, BLS, TNCC, NIH,

Traveler Telemetry Competency ExamSkills required: Vent management, airway management, high flow O2, chest tubes, peripheral IV starts/maintenance, wound care/dressing changes, wound vacs, drains (JP, hemovacs), nephrostomy tubes, pain management, PCA, central line management, cardiac rhythm interpretationDrips: Heparin, amiodarone, Cardizem, nitro, pressors, other critical dripsAsk if candidate has Charge experience and if they would be interested in taking on that role while here. This is not a requirementEPIC experienceSupport on the Unit:No CNAs in ICU/PCU, but will have CNAs on other unitsIV/VAT Team

IV therapy on day shiftRT 24/7Hospitalist- in house 24/7Intensivist available on days.Will come from Deaconess and has tele ICU camera at bedside.Charge RN may have partial patient assignment but available to be a resourceOT, PT, SLP during daysRapid Response/Code TeamCentralized Tele monitoring with techs 24/7 for

MedSurg/PCU patientsTechnology/Equipment: EMR: EPIC experience requiredIV pumps: ICU

Plum MedicalMed dispensing: PyxisFloating: If yes, where?Will float within scope of practice and take patient assignments throughout hospital anywhere there are ICU, PCU, or MedSurg patientsCould float into ED to act as a helping handOrientation: NEO2 shifts on the unitWill be required to pass cardiac rhythm interpretation exam in compliance prior to startScheduling:Weekend rotation: every other weekendOn call

No callHoliday Expectations: 1 holiday per contractRTO: up to 7 daysShift times: 1900-0730, 0700-1930Breaks and 30-minute meals are mandatorySchedule cycle: every 6 weeks, will receive 2 weeks prior schedule releaseOther notes:Shift safety huddle at the start of every shiftScrub Color: Any solid color, professional. No graphics, logos, or designs.Parking: Free

Program name: SimpliFi

Travel :90