Common diagnoses / Types of patients : No cardiac intervention. Sepsis, elderly, COPD, CHF, suicide, drug overdose, a fib RVR, etc.
Experience : At least 1 year in the specialty.
Floating Requirements : Possible float to Acute Care (full or partial assignment) (a 12-bed unit, may take a full assignment of 5-6 patients on night shift) or possible float to ER (tasking and may do 1 : 1 as well).
Are there Tele / Monitor Techs on this unit? Are RNs required to read their own strips? What brand are the tele monitors? : Responsible for monitoring, reading, and interpretating their own strips when in home unit of ICU and if / when floated to Acute Care Unit. Client & Phillips monitors.
Are RNs required to titrate drips? : Yes
Common titratable & / or set rate drips : Sedation (Propofol, etc.), pressors (Levo, Norepi, Dopamine), paralytics (rare), Insulin, Cardizem, etc.
Support Staff
Charge Nurse / House Supervisor? Does the charge nurse take an assignment? : There is a charge nurse over acute care and ICU (works similar to a house supervisor). Free of patient assignment. The charge nurse is not an ICU nurse, but they are ACLS certified.
Are there nurse aids on this unit / Ratios : Yes - shared between acute care and ICU. 2-3 on per shift, depending on census.
Hospitalist or Intensivist in house : Tele-nocturnist. Tele-intensivist
RT in ICU 24 / 7 : RT in house 24 / 7, shared house wide.
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