ICU

Emergency Department Inpatient Hold Unit — Critical Care RN

Nights | 7:00 PM – 7:00 AM | 3×12-Hour Shifts | 12-Week Contract | Fayetteville, GA

This mixed-acuity inpatient hold unit is embedded within the Emergency Department and serves adult and geriatric patients awaiting inpatient bed placement. The unit manages ICU, IMCU, and acute care patients simultaneously, with acuity-based staffing and a fast-paced environment where multiple patients may transition to floor beds at once. Typical length of stay is under 24 hours, though patients may remain longer during high census.

Clinical Scope

Candidates should be proficient in a broad range of critical care skills, including:

• Ventilator management, BiPAP/CPAP, and high-flow nasal cannula
• Arterial line and central line care, CVP monitoring
• Titration of vasoactive and cardiac drips; continuous IV sedation and neuromuscular blockade
• Stroke/CVA management, 12-lead EKG acquisition and interpretation
• Blood product administration, TPN/lipids, IV insulin protocols
• Management of multisystem organ dysfunction, respiratory failure, pulmonary embolism, and acute renal failure
• Fresh tracheostomy care, suctioning (ETT/NT), PICC line management

Requirements

• Active Georgia or Compact RN license
• Certifications: BLS, ACLS, NIHSS
• Minimum 2 years of RN experience; first-time travelers considered
• Community hospital experience required

Schedule & Expectations

• Night shift: 7:00 PM – 7:00 AM
• Every other weekend required; no on-call
• Holiday coverage required per assignment schedule (up to 2 of 6 major holidays)
• Floating within scope of practice as needed
• Maximum 7 days RTO per contract; all RTO must be confirmed at time of submission

Full compliance documentation due the Tuesday prior to start date.