ICU

Day Shift (36) Description: Summit - Crit Care: ICU 2nd Floor About Facility:o   Oconomowoc, WIo   Level II Trauma Centero   Primary Stroke Centero   Beds: 91?       Unit Information:o   Beds: 14?        Census

Average patients/day?o   Minimum Years of Experience required? 2 years’ ICU experienceo   Will you accept a first-time traveler

Yes?       Patient

Types/Common Diagnoses: o   General/Medical: sepsis, pneumonia, COVID, COPD, respiratory failure, kidney failure, liver failure, GI bleeds, DKAo   Cardiac: CHF, STEMI/NSTEMI, post-cath (radial and femoral approach)o   Trauma: GSW, stabbings, fallso   Surgical: GYN, GI (SBO), GUo   Neuro: SDH, TBI, CVA, TIA, syncopeo   No cardiovascular surgeries?       Patient Ratios:o   1:1-3. If greater than 2 patients:?        Team Nursing with experienced MedSurg RN?        MS patient, but MD wants patients in ICU?        Long term vented patients – ICU RN manages vent, MS RN will manage patient?       Required License, National Certification, Certs:o   BLS, ACLS, NIHSSo   TNCC preferred?       Skills required:o   Vent/Trach management, tube/drain management, chest tubes, invasive line management (art line, CVP), cardiac rhythm interpretation (read and measure strips), surgical recovery, medication titration (sedation, pressors, cardiac, pain, paralytics, etc.)o   EPIC experience requiredo   Preferred: Abdominal pressure monitoring, EVDs, CVVH, IABP.?       Support within the Department:o   Charge RN typically takes patient assignmento   1-2 CNA per shifto   Bedside/Centralized tele monitoringo   HUC on day shifto   “Break Buddy”o   RT 24/7o   Hospitalists 24/7o   Intensivist 24/7o   OT/PT/ST during the day?       Technology/Equipment:o   EMR: EPIC - requiredo   IV Pump: Alariso   Med dispensing: Pyxiso   Monitors:o   Unit specific equipment:?       Floating: If yes, where?o   Could float anywhere in the hospital within scope of practice and below. If floating to MedSurg/Tele units or ED Boarding with MS patients, will take 1:4 ratio.o   Travelers float first?       Orientation (facility and unit):o   2

Day Orientation: ?        Day 1: Meet with ClinED (access, login, badge). Remainder of the day training on the unit?        Day 2: 12h on the unit training with preceptor?       Scheduling:o   Weekend rotation: Every othero   On call

Noneo   Holiday Expectations: 1 holiday per contracto   Approval of RTO: ok to approve up to 7 dayso   Shift times: 0700-1900, 1900-0700o   Schedule cycle: Schedule made in 6-week increments?       Other notes:o   Scrub Color: Any solid color, professional. No graphics, logos, or designs.o   Parking: Free in designated areas for employees

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