Registered Nurse (RN) Unit Information The following units are available within the organization: • MSICU: 40 beds • CVICU: 10 beds • PCU: 40 beds • 2R PCU Obs: 18 beds (may increase to 27 when open for overflow) • CCU: 30 beds • Medical: 89 beds • Surgical: 55 beds • Flex Unit: 9 beds (includes PCU and medical-surgical patients) • Inpatient Rehab: 47 beds on two floors • ED Holding Unit: Patients awaiting a bed • COVID overflow as needed Experience Requirements • ICU: 2 years of ICU experience • PCU/PCU ED Holds: 2 years of PCU experience • Medical-Surgical: 2 years in an acute care setting Patient Types / Common Diagnoses ICU • Respiratory failure, GI bleeds, DKA, sepsis, complicated post-operative patients, strokes, flap surgeries, post-arrest, ETOH, IVDA • Higher level therapies: Rotoprone, Manual Prone, Hypothermia Protocol, CRRT, TPA • No craniotomies, major traumas, or major cardiothoracic cases PCU • Respiratory compromise, sepsis, renal failure, bleeding disorders, general medical/surgical patients, CHF, COPD, pneumonia, general, and orthopedic cases Medical-Surgical • Oncology: Neutropenic, post-operative • General: post-operative, COPD, CHF, sepsis, DVT, AKI, dialysis, COVID • Common COVID cases present on this floor Rehab • Neuro: Stroke, spinal cord injury, TBI, multi-trauma, post-COVID, post-ICU • Vents and tracheostomies are present in the unit • Med-surg level acuity patients ED Holding • This unit will be the primary area of work for this position • Mixed diagnoses including ICU (1:2), PCU (1:4), and medical-surgical (1:5) patients • May manage isolation patients and non-ambulatory patients • Fast-paced environment requiring flexibility and resourcefulness Patient Ratios • ICU: 1:2 based on acuity • PCU and CCU: 1:4 based on acuity • Medical and surgical: 1:5 • Rehab: 1:8 team model (RN, LPN, Tech) Certification and Skills Requirements • ICU: ACLS, BLS, NIHSS • PCU: ACLS, BLS, NIHSS • Medical-Surgical: BLS, NIHSS Required Skills • ICU: Cardiac rhythm interpretation, vent management, invasive line management, ostomy care • PCU: Cardiac rhythm interpretation, management of chest tubes and lumbar drains, tracheostomy, required IV medication titration • Medical-Surgical: IVs, PCAs, Chest tubes, drains, ostomies, IV antibiotics • Strong communication and patient education skills are essential Support Within the Department • Technicians: ICU 1:14