New Grad Registered Nurse - Critical Care Internship
The Christ Hospital Cardiovascular Associates Cincinnati, OH (Onsite) Full-Time
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Job Description
CCNRP (ICU)
The Critical Care Nurse Residency Program, offered at The Christ Hospital, is designed to prepare graduate RNs to function confidently and efficiently in critical care units. We provide an opportunity to practice clinical skills, care for several diverse patient populations, and gain an appreciation for the special interaction between critically ill patients and their families within this program. This 8-week program which includes critical care physiology classes and tests, simulations, and clinical time on your unit. You would also have an additional 6+ week preceptor-based orientation on your unit.
Requirements :
• RNs must have less than 12 months of nursing experience or be a new graduate to enter this program.
• Minimum GPA of 3.0 is preferred (A or B in nursing core classes).
• RN licensure from the state of Ohio must be obtained two weeks from residency start date
• NOTE : We are NOT requiring our new residents to sign a retention agreement/contract
ICU Unit Descriptions
The Cardiovascular Intensive Care Unit ( CVICU ) is a 16-bed cardiovascular recovery and intensive care unit. It is a fast-paced environment where state-of-the-art technology, nationally-recognized standards of care, and critical thinking skills are utilized by the all-RN staff to provide compassionate patient- and family-centered care. We are highly proficient in the pre-operative, intra-operative support, and immediate post-operative phases of cardiovascular procedures. This includes open heart surgery, ventricular assist device implantation, and various interventional procedures including Transcatheter Aortic Valve Replacement. Acute cardiology and heart failure patients also receive care in CVICU, along with overflow medical and surgical intensive care patients. We expertly manage all types of invasive lines, medications, hemodynamic needs, intra-aortic balloon pumps, continuous dialysis and ultrafiltration machines, and various ventricular assists devices. Your success as a nurse is our number one priority, and is supported through our encouraging environment of comradery and mentorship.
The Surgical Intensive Care Unit ( SICU ) is a 12-bed unit. We serve patients of all adult ages and occasionally adolescents. Diagnostic categories include neurology, neurosurgery, general surgery, vascular surgery, thoracic surgery, and OB/Gyn surgery. In addition, all patients having kidney transplants come to SICU immediately post op for the first few days following their transplants. Many patients are admitted to SICU directly from the operating room for their initial recovery period. Any patients requiring intraventricular/intracerebral monitoring are cared for in SICU. We also care for patients with many other diagnostic categories including internal medicine and respiratory disease. All SICU nurses become NIH Stroke Scale Certified within their first year in the unit.
The SICU vision: To consistently provide exceptional patient and family focused care with expert knowledge, mutual respect and professionalism in an enthusiastic, nurturing and rewarding environment.
The Medical Intensive Care Unit ( MICU ) is a 20-bed intensive care unit located on 7 West. We provide holistic and compassionate care for patients with numerous diagnoses including: pneumonia, GI bleed, respiratory failure, sepsis, heart failure, MI, post-cardiac arrest, acute renal failure, multi-system organ failure, and many others. Nurses utilize a variety of equipment including intra-aortic balloon pumps and continuous dialysis machines. The MICU is a closed unit, with an Intensivist Physician serving as the attending for each patient. The Christ Hospital is a teaching facility, giving us the opportunity to work closely with the Medical Residents in the MICU, and allowing us to train new nurses through the Critical Care Nurse Residency Program. The MICU charge nurse also takes primary responsibility for the Rapid Response Team (called the STAT Team), responding to calls throughout the hospital. The MICU RNs strive to utilize technology and evidence based practice to provide compassionate and efficient care to achieve best possible outcomes for patients and families.
Orientation
Those who are selected to join the nurse residency program will spend several weeks in orientation. After hospital onboarding is completed, the first eight weeks includes a classroom didactic where an 85% average passing rate on all exams is required to remain in the program. During this time period, you will also orient in your home unit part time (12-24 hours per week). These unit orientation shifts may be scheduled on any day of the week, including weekends, and will be either 12 or 8 hours in length.
After you have finished the didactic portion, you will spend 36-40 hours per week in orientation in your home unit. Plan to orient on both days and nights, including various weekends, in 8- or 12-hour shifts.
Scheduling After Orientation
All three ICUs function similarly in regards to scheduling requirements. We utilize Kronos for self-scheduling and work hard to allow staff to maintain a comfortable work-life balance. Positions include working every third weekend in either a straight night shift or rotating day/night shift capacity. Each RN is currently required to take 16 hours of on-call per 4 week schedule. On-call is used to cover for ill/absent calls, high census, and high acuity, mainly to maintain safe patient assignments; on-call may also be used to cover similar needs in any of the three ICUs. Holiday groupings may vary slightly between units, but you can expect to work the equivalent of half of the annual holidays.
Staffing
Staffing ratios are maintained at a 1:2 nurse/patient ratio, unless the patient requires 1:1 care. Patients awaiting transfer to a lower level of care, or overflow med-surg/telemetry patients, are staffed at a 1:3 ratio. Care is provided in a "total patient care" model by an all-RN staff, meaning we do not have PCAs in the ICUs. Health Unit Coordinators are present on most shifts and are available to assist with basic patient care but they do not perform any independent patient care. Additionally, an ICU nurse attends all codes throughout the hospital campus-this responsibility is rotated among all three ICUs.
Sharing
Nurses are shared between the three ICUs, meaning someone from one ICU may work in another ICU for a shift. The charge nurses collaborate to ensure skill mix and assignments are appropriate. No one will be shared (unless with a preceptor) until they are out of orientation and comfortable in their home unit, which is generally between 3 and 6 months. This is a great opportunity to become more familiar with other patient populations.
Letters of Recommendation
It typically takes more than a year to develop a comfort level with the new role of ICU nurse, and at least two years to begin taking on more complex assignments and responsibilities. We encourage professional growth and advancement. Because of the time needed to grow into your new role and for the management team to get to really know you, we have determined that letters of recommendation for graduate education programs will not be completed by managers, assistant managers, or unit educators until you have been employed for at least two years in this new role.
Additional Training
CVICU RNs may receive specialized training to recover open heart surgery patients. This opportunity is available at least one year after unit orientation is completed. A two-year work agreement is required of all nurses who receive this training.
Certification
All ICU nurses are required to obtain and maintain BLS and ACLS. CCRN certification is highly encouraged, as well as CSC certification for CVICU RNs
About Us
For more than 130 years, The Christ Hospital been the beacon for exceptional healthcare in the Greater Cincinnati community. We're industry pioneers, always pushing the boundaries and reimagining the future of healthcare.
Our culture promotes collaboration, diversity and innovation. Together, as a team, we work tirelessly to enhance healthcare quality, accessibility and safety.
Recommended Skills
• Acute Renal Failure
• Advanced Cardiovascular Life Support (Acls)
• Basic Life Support
• Cardiac Arrest
• Cardiothoracic Surgeries
• Coaching And Mentoring
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