Required Skills/Experience:
If a traveler went straight into PICU out of school, a minimum of 3 years of PICU experience is required.
Experience with the listed pediatric patient populations is required.
Experience with EVDs is required.
Required skills include starting IVs, Foley catheter insertion, dressing changes, wound vacs, ventilator and tracheostomy management, suctioning, G/GJ tube management, tube feeds, chest tubes, epidurals, PCAs, critical drip management, and discharging skills.

Unit Details:
The assignment covers both PICU and pediatric MedSurg.
Respiratory cases include high-flow oxygen, CPAP, BiPAP, ventilated patients, fresh and established tracheostomies, RSV, asthma, COVID, and influenza.
Medical cases include MIS-C, new-onset diabetes with insulin drips, chronically ill patients, and oncology patients; chemotherapy is not administered.
Surgical cases include appendectomies, G-tubes, ENT cases, bowel obstructions, and broken bones.
Trauma cases include falls, motor vehicle accidents, drownings, and ski accidents.
Neurologic cases include EVDs, shunts, bolts, craniotomies, Chiari malformation, epilepsy, seizures, and 24-hour EEGs.
Cardiac cases are limited to medically managed congenital defects and abnormal rhythms; there are no cardiac surgeries or interventions.
The unit does not care for dialysis, CRRT, ECMO, transplant, or major-burn cases.
The pediatric MedSurg patient ratio is 1:3-4.
If PICU census is low, the nurse may work independently; the charge RN is PICU-trained and typically does not take patients unless census is high.
There is no CNA; an HUC may assist with CNA duties when not busy.
The nurse typically draws their own labs; phlebotomy may assist with older children.
PICC team support is available during the day.
RT is available 24/7 and assigned to NICU/PICU.
A pediatric hospitalist is in house 24/7; an NNP is present 24/7, and a neonatologist is on call at night.
A pediatric transport team is available for air and ambulance transport.
Equipment includes Baxter IV pumps, Pyxis medication dispensing, Medfusion syringe pumps, and Alaris PCA equipment.

Shift & Scheduling:
Shift times are 0700-1930 or 1900-0730.
Self-scheduling is used for a 6-week schedule, with 5 weekend shifts required in each 6-week schedule.
Holiday assignment includes 1 summer and 1 winter holiday, with work scheduled for the day before and day of each holiday.
No call.

Floating Requirements:
May float to NICU and Postpartum for lower-acuity patients. When floating to Postpartum, may care for stable couplets (mothers and babies) who are 6+ hours post-delivery; laboring mothers are not assigned. Extra orientation may be provided for this float.

Special Requests:
RTO requests must go through the manager.

Pre-employment modules may be required for this role. Please upload any certifications or health documents you have to your profile to expedite your on-boarding process.

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