Travel RN - Telemetry - Progressive Care Unit

American Traveler is hiring an experienced RN for a Progressive Care Unit (PCU) position requiring strong vasoactive drip titration skills and NC or compact RN licensure.

Job Details

• Progressive Care Unit (PCU) functioning similarly to an ICU stepdown,
• 20-bed unit with an average daily census of 18 patients,
• Patient population includes post rapid response team patients, respiratory distress, unstable hemodynamics, withdrawal, GI bleeds, and post-op GYN, GU, GI, thoracotomy, neuro, and ortho surgical patients,
• Also cares for pre/post OB patients with complications requiring Pitocin,
• Patient ages range from adolescent to geriatric,
• Target nurse-to-patient ratio of 1:3-4,
• Only one pressor drip per patient allowed on the unit; additional drips require ICU transfer,
• Manages drips including Cardizem, Nitro, Precedex, Cardene, Levophed, Dopamine, Dobutamine, and Neo,
• Uses bedside telemetry monitors with remote backup,
• Unit uses Pyxis and Epic systems,
• No ventilators on the unit, but BiPAP, A-lines, chest tubes, and tracheostomies are managed,
• 12-hour night shifts (18:45-7:15) on a 3x12 schedule,
• Every other weekend requirement,
• Floating required as needed to a sister ICCU unit,
• Schedule created by the nurse manager; no block scheduling available,

Job Requirements

• Active NC or compact RN license required (pending license accepted at submission),
• Minimum 2 years of relevant RN experience required,
• BLS, ACLS, and NIHSS certifications required,
• Required experience with arterial line management and titrating vasoactive and cardiac drips,
• Experience with PCU/DOU/IMC/Stepdown and telemetry care required,
• Skilled in interpretation and management of dysrhythmias,
• Experience with IV insulin protocols, heparin protocols, and IV therapy/phlebotomy,
• Experience with blood product administration, central line, peripheral line, and PICC line care/management,
• Experience managing chest tubes (Emerson/Pleur-evac), external CPAP/BIPAP, high flow nasal cannula, and nasal cannula,
• Skilled in non-invasive airway management and tracheostomy care/management,
• Experience with isolation precautions/PPE,
• Experience with IV starts, telemetry monitoring, and conscious sedation,
• Epic charting experience preferred,

Additional Information

• Monitor and respond to dysrhythmias using bedside telemetry with remote backup,
• Utilize rapid response/code teams as needed for patient care escalation,
• Must pass EKG testing prior to start for this specialty,
• Hospital orientation occurs during the first week; traveler must attend classes daily,
• Scrub colors limited to navy, white, or a combination of the two,
• Must work 2 of 3 major holidays,
• Up to 7 days of RTO may be auto-approved, excluding holidays; no RTO allowed during the first week of assignment,
• First-time travelers are welcome to apply,
• Local candidates within 50 miles accepted at a lower pay rate,
• Former Novant Health or New Hanover employees (PERM/PRN/EP) must wait 12 months before applying and disclose prior employment details for facility approval,
• Travel pairs allowed if placed on different units with separate schedules and independent transportation,
• 13-week minimum contract length, with longer contracts available