Registered Nurse - Neuro ICU

the Client•Charlotte, NC

5h•Onsite

About The Position

This is a travel/contract Registered Nurse position in the Neuro ICU at a Comprehensive Stroke Center. The unit serves a high-acuity patient population with a primary focus on stroke patients (ischemic, hemorrhagic [SAH]), SDH, craniotomies, carotid stents, carotid endarterectomies, aneurysm coiling/clipping, seizures, depth electrodes, and myasthenia gravis. Drains used on the unit include EVDs, LDs, hemovacs, and Camino (ICP monitoring). The unit operates with a 2:1 nurse-to-patient ratio, which can flex up to 3:1 during high census, and candidates must be comfortable with this if needed. The average daily census is 11–12 patients.

Requirements

Vents (ventilator management)
IV Start
Neuro Intensive Care Unit experience — minimum 2 years; strong Neuro Critical Care background required, not just general ICU
Interpretation of dysrhythmias
Management of dysrhythmias
Blood Product Administration
Central line care/management
Continuous IV sedation
CVA/Acute Stroke management
External ventricular drains (EVD)
ICP Monitoring
Post Neurosurgery management
Care of Ventilated Patient
Isolation Precautions/Use of PPE
Lumbar Drain experience
Proficiency with unit systems: Pyxis, EPIC, SBAR
Familiarity with special equipment: EVD, Lumbar Drains, Camino, LICOX, NICOM, and Arctic Sun
Comfort with 2:1 patient ratios flexing up to 3:1 in high census situations
ACLS certification required
BCLS certification required
NIH Stroke Scale (NIH) certification required
Registered Nurse (RN) license required
Minimum 2 years of experience in Neuro ICU — REQUIRED; strong Neuro Critical Care background, not just general ICU
First-time travelers will NOT be accepted; prior traveler experience required
Flu vaccination required (medical/religious exemptions only)
Must pass EKG testing prior to start for this specialty
Candidate must have a minimum of 2 years of Neuro ICU experience — if not, please do not submit
Strong Neuro Critical Care background required — general ICU background alone is not sufficient for this unit
Unit will NOT accept first-time travelers
RTO after booking is NOT allowed and is NOT allowed to be worked out onsite; any call-offs or additional RTO on unit could result in a contract cancellation and DNR (Do Not Rehire)
RTO maximum: 7 days for AYA
Auto Offer
Stroke patients are one of the largest patient populations on this unit
Unit orientation: 24.0 hours (2 days or 2 nights)

Nice To Haves

Arterial line management

Responsibilities

Provide direct nursing care to high-acuity Neuro ICU patients including those with stroke (ischemic, hemorrhagic [SAH]), SDH, craniotomies, carotid stents, carotid endarterectomies, aneurysm coiling/clipping, seizures, depth electrodes, and myasthenia gravis
Manage ventilated patients including care of the ventilated patient and ventilator management
Perform IV starts and manage continuous IV sedation
Administer blood products per protocol
Manage central lines including central line care and management
Monitor and manage intracranial pressure (ICP) via ICP monitoring devices
Manage external ventricular drains (EVD) and lumbar drains
Perform CVA/Acute Stroke management as a core unit function
Interpret and manage dysrhythmias
Implement isolation precautions and use of PPE
Float per unit requirements as needed
Complete unit orientation (24.0 hours; 2 days or 2 nights)
Follow scheduling per unit needs, including every other weekend assignment
Adhere strictly to RTO policy: no RTO after booking and no working out onsite; call-offs or additional RTO on unit may result in contract cancellation and DNR