Talent4Health is seeking a travel nurse RN CVICU for a travel nursing job in Monterey, California.
Cardio IC (Cardiovascular Intensive Care) 3 years recent experience required Required Certifications ACLS, BLS, NIHSS RN CA license Shift Notes 12H nights Unit Notes ***NICOTINE FREE facility, included in drug screen*** ---ALL RTO needs to be in at the time of submission. NO RTO will be approved after offer is sent. ---Do they have EPIC Experience? CTICU - Cardio Thoracic experience required. Will receive fresh open heart surgical patients and provide immediate care. CVICU RN that can receive patient from OR and manage post care . # of beds 20 beds all private - average census 10-13 patients ICU and CCU are one unit. Ratios 1:1-2 Required Certifications BLS, ACLS, NIHSS. PALS Common diagnoses/Types of patients CP, stroke, some pediatrics, vents, sepsis, resp distress, carotids, craniotomies, travelers don't normally take CVA patients, thoracotomies, fem pop. CABG, aortic/ mitral valve replacement, type a dissection,. 3-4 open hearts per week. IABP (travelers will take), Swan, CRRT (Prisma max/ Fresenius)- travelers rarely take. If they say they can recover fresh open hearts this needs to be POD 0 experience. Experience or 'Must have' skills "Need to have some experience with MedSurg ICU patients including chest tubes, RSI intubations. They do a lot of bedside procedures including intubations, line insertions, post cath lab recovery. etc. MUST have an understanding of sepsis & be able to anticipate physician orders. Recent (within 6 months) post op open heart experience preferred- within 1 year required." Are RNs required to titrate drips? Yes Common titratable &/or set rate drips alll critical care drips Charge Nurse/House Supervisor Yes both shifts- responds to codes and rapid responses. They are typically out of the staffing grid. Resource nurse available when staffing allows- both shifts. Are there nurse aids on this unit/Ratios None - sometimes they will have a support tech on that helps with equipment & can function like a tech as needed Hospitalist or Intensivist in house Intensivist on 7-530pm, on-call after hours; hospitalist in house 24/7 RT in ICU 24/7 Yes RT Equipment (vents, Cpap, BiPap, etc) Cervo I vents, BiPap (PB 840), CPAP, HFNC Is there tele on this unit? Monitor Techs? RNs read strips? Phillips monitors with 24Hr monitoring tech on the unit. Nurses must read and interpret. Shifts & Scheduling "12Hr shifts 7-7; schedules made out about 2 weeks in advance, able to trade shifts if needed. Perm staff have set schedules but travelers need to be flexible to help fill needs. " Weekend Requirement Every other essentially - travelers are there to fill in holes so it could be Friday one week & Saturday of another. Holiday Requirement Usually will work into permanent staff rotation & would like flexibility in working holidays. One major winter holiday. Is there a call or standby requirement? No call required; but if census decreases, may have to put staff on-call Floating Requirements 1st to float - may float to tele for patient assignment (1:4 ratio - will get 1 shift of orientation if floated). Scrub Color/Dress Code Provided Unit/Department specific orientation "3 days: Day 1/2 - with educator/ computer training Day 3 - Patient assignment with preceptor. " Additional Notes The unit overall is very traveler friendly & many extend their contract. Looking for someone willing and open to learning. They use SBAR and CUSS (Concern • Uncomfortable • unSafe • Stop) when speaking with providers. Additional Questions "Would be nice to have experience with endo-tool, hill-rom beds, alaris pumps, and phillips monitors and Epic FYI - what is an endo-tool? EndoTool is a computer software system that replaces standard paper protocols for dosing and titrating insulin drips for patients with hyperglycemia, diabetic ketoacidosis (DKA), and hyperosmolar hyperglycemic state (HHS" Additional Questions "FOR CCU NURSES--Do open hearts recover on their previous units? Talk to me about the immediate open heart recovery. Key points: Looking at CI/CO, Looking at CVP SVR to figure out fluid status during the warming phase. What types of pressors did they use in the immediate phase and why? Did they use EPI for cardiac Index vs Levophed for increasing Map. CT output atleast q1 in the beginning. Urine output. Epicardial pacing wires how frequently did they use them and why? We arterial pace frequently for CI so it’s a bonus if they currently practice this way. Describe a time or discuss Cardiac tamponade. What is the POD 1 and POD 2 management like. What are some Post op complications that you see at this point. Walking patients, bowel regimen. Complication-A fib is the big one, what is there experience with a fib management in CTS. " "FOR ALL NURSES:How do you validate to make sure how you are managing the patient correctly? Using the hospitals Policy and procedure manual. (yes asking others, but others maybe just stating what they do verses what the hospital is requi
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