RN - Progressive Care (Step-Down)

RN - PCU

● About Facility:

o 1 Medical Center Blvd, Winston-Salem, NC 27157

o 885 licensed beds

o Level 1 Trauma Designation

o Teaching Hospital: Yes, Academic Medical Center

o Chest Pain Center

o Stroke Center

● Unit Information:

o Beds: 28

▪ Average census 26

o Minimum Years of Experience required? 1 year of experience in Cardiology

o Will you accept a first-time traveler? Yes

● Patient Types/Common Diagnoses:

o Cardiac PCU – Acute Coronary Syndrome, Heart failure, NSTEMI/STEMI, Chest Pain r/o, post cardiac cath (PCI or without stent), post EP procedures – pacemaker insertion, ICD, ablation; Arrhythmia management, Vascular – Peripheral Artery Disease, AAA Repair, DVT/PE

● Patient Ratios:

o RN: 1:4-5

o CNA: 1:11-14

● Required Licensure & Certifications:

o BLS, ACLS, NIHSS

● Skills required:

o Cardiac rhythm interpretation; Cardiac post-procedural experience

o REQUIRED to be comfortable titrating gtts – Argatroban, Digoxin, Diltiazem, Dobutamine, Dofetilde, Dopamine, Esmolol, Lasix, Insulin, Labetalol, Lidocaine, Milrinone, Nicardipine, Nitroglycerine, Sotalol, Tirofiban

● Support within the Department:

o CNA: Supports the RN by obtaining VS and blood glucose checks; assists with hourly safety rounds and ADLs

o Receptionist/HUC

o Charge nurse: may or may not have patient assignment

o Phlebotomy? Yes, peripheral blood draws

o No IV/VAT team

o RT 24/7? Yes, available – will need to page for assistance when needed

o Hospitalist 24/7

o Intensivist 24/7

o Telemetry monitoring/tech - nurses responsible for monitoring/verifying strips - once a shift

● Technology/Equipment:

o EMR: Epic

o IV Pump: Alaris

o Med dispensing: Omnicell

o Monitors: Philips

o Unit specific equipment:

● Floating: If yes, where?

o 7 Reynolds, 5 Reynolds, Day Hospital, 5CC West

● Orientation (facility and unit) :

o NEO

o 2 days departmental

● Other notes:

o Scrub Color: Royal Blue

o Parking: Free, on site

o Unit Culture: Family atmosphere. #1 expectation is teamwork.