Travel Nurse RN - CVICU
Seattle, WA
United Staffing Solutions
3x12 hrs, Nights
Referral Bonus

Trauma Level
3
Charting System
Cerner
Unit Notes
**Medical Solutions auto deducts the 1.75 WA state tax - you are able re-add that back in.**
Region I: Primary to Virginia Mason Medical Center, but if needed, travelers will be required to float throughout Region One: St. Anne Hospital – Burien, WA; St. Francis Hospital – Federal Way, WA; Virginia Mason Medical Center – Seattle, WA - if floated will get a premium for float shift.
Will start at St Anne's and then move to the next available orientation at VMMC.
- Cost Center: 601100
Unit ICCU - Mixed general and cardiac CCU JP9
# Beds 28 (average census 18-20)
Nurse:Patient Ratios 1:1-2
Required Certifications (i.e., BLS, ACLS?) BLS, ACLS, NIHSS
Common diagnoses/Types of patients Only have 1 ICU; Mixed diagnosis medical & surgical ICU, Heavy Cardiothoracic surgery, post-open hearts immediate post-op and POD 1-2, valves, PA caths, ECMO VV & VA, transvenous or epicardial pacers on 50% of patients. Multisystem organ failure, resp failure, renal failure, heart failure, vascular surgery, stroke, interventional neuro & transcatheter interventional patients, head bleeds, thrombectomies, Ventrics & lumbar drains.
DKA, complex GI surgeries, liver failure, sepsis.
ECMO VV & VA (travelers can do a checklist to take these)
Experience or 'Must have' skills Must have 3-4 years of CVICU, CCU, or cardiac specific critical care experience.
Must have experience with temporary pacers - 50% of patients
Must have experience caring for stroke patients
Highly recommended to have experience with all of the following devices: Impella, IABP, CRRT, Prismaflex, Ventrics, ECMO, & LVADs.
Ok with first time travelers if have above experience
Are RNs required to titrate drips? Yes
Common titratable &/or set rate drips Ionotropes, vasopressors, vasodilators - all critical care drips.
Charge Nurse/House Supervisor? Does the charge nurse take an assignment? House supervisor at all times. Charge nurse without assignment. They do have a resource nurse that acts as rapid response nurse.
Are there nurse aids on this unit/Ratios 1:10 usually. At least one aid on the unit
Hospitalist or Intensivist in house Intensivist in house and on the unit at all times. CV- no one in house 24/7 but they do have a surgical resident in house.
RT in ICU 24/7 At least one RT in the unit at all times.
RT Equipment (vents, Cpap, BiPap, etc) All
Are there Tele/Monitor Techs on this unit? Are RNs required to read their own strips? What brand are the tele monitors? Sometimes a tech monitors. RNs are required to read their own strips.
Shifts & Scheduling (Do you allow self-scheduling? Block scheduling?) 7a-7p, 12 hour shifts. Block scheduling is allowed when feasible, manager makes initial schedule and with the next open schedule, travelers self schedule with Kronos
Weekend Requirements Every other weekend. Potentially more. Days: Sat/Sun Nights: Fri/Sat
Holiday Requirements If holiday falls within contract and there is a need, travelers would work, perm staff have scheduled holidays
Is there a call or standby requirement? No, opportunity for overtime
Floating Requirements anywhere in house, prioritize floating to progressive care: 1:3 ratios, neuro progressive care 1:3 ratios, Med Surg 1:5 ratios
Scrub Color/Dress Code Royal Blue, white or grey as secondary colors
Unit/Department specific orientation 2 shifts on the unit. (1 week Cerner prior, HGO restrains and IV pump. Policy check off, 1 day to do online learning modules at home)
Additional Notes Virginia Mason only has one ICU, so they care for all types of ICU patients.
Additional Questions RTO - Try not to grant many hours. If one week RTO they ask that the traveler extend the contract to fulfill the full 13 weeks.