RN - PCU

Registered NurseThis position is for a Stepdown unit with 28 private beds. All candidates must possess BLS, ACLS, and NIHSS certificates. The nurse-to-patient ratio is typically 1:4-5 for stepdown, and up to 1:6 for MedSurg acuity. The Electronic Medical Record system in use is Cerner and EPIC. Charge nurses assign duties during the day shift with some assignments at night. There are 2 nurse aides available during day and mid shifts, but none after 11 PM. Nurses must work every other weekend, including Saturdays and Sundays, and share holiday rotations. Scrub color mandated is Navy Blue, and jackets must also be navy if worn. There is a monitor technician, but RNs are required to read and interpret strips. Nurses will need to titrate drips for medications like Cardizem, Nitro, Dopamine, Dobutamine, and Heparin. Insulin is administered at a set rate, and there are no sedation drips used. BIPAP, C-PAP, and High Flow are the ventilation methods utilized. A hospitalist is available in-house 24/7 with an intensivist present in the ICU daily and on-call after hours. There is no dedicated IV team; however, charge nurses or the ICU director can assist with difficult IV placements. Respiratory therapy and pharmacy services are available 24/7. Nurses work 12-hour shifts from 7 AM to 7:30 PM, with potential for floating to ICU as needed. Orientation includes two shifts with a preceptor for floor-specific training. Common diagnoses include heavy cardiac cases, dysrhythmias, CVAs, and a variety of patients downgraded from ICU care. There is a cancellation policy allowing for two shift cancellations per 13-week assignment.