Registered Nurse (RN) - Progressive Care (Step-Down)

RN - PCU

· About Facility: 600 Hospital Dr, Monroe, NC 28112

• 174 licensed beds
• No Trauma Designation
• Teaching hospital: Only Community Schools of Nursing
• Chest pain center: No, but part of Lee Garvey Chest Pain Network
• TJC Stroke accredited
• Radius rule: Traveler’s permanent address must be 50 miles outside of home unit

· Unit Information:

• How many beds? 11
• Experience: 18+ months PCU RN exp (Resource Team)
• First-time travelers: Not preferred but will consider (Resource Team)

· Patient Types/Common Diagnoses:

• Stroke, Heart Failure, Chest pain, patient requiring fluid resuscitation/blood products, COPD, Cardiac Cath pre/post, ETOH/CIWA, IVDA, Respiratory illnesses, GI Disorders and infections, Liver Failure, AKI/CKD

· Patient Ratios:

• RN: 1:3-4
• CNA: 1:5-6

· Required License, National Certification, Certs (BLS, ACLS, etc.), or other position specific requirements such as Driver's License and/or Insurance:

• BLS, ACLS, NIHSS (Resource Team requirement)

· Skills required:

• Gtt Management: critical care drips to include Insulin, Nitroglycerin, Cardene, Diltiazem, Amiodarone; Heparin, Blood products
• General PCU skillset: Stroke experience, cardiac rhythm interpretation, trach care and management, PIV starts, chest tube management, NGT placement, drain/tube management (Dobhoff, PEG tubes, Hemovac, JP drains, flexiseals, foley insertion/management, etc), PCA pumps

· Support within the Department:

• CNA – ratios vary
• Receptionist/HUC
• Charge nurse, 24/7 – may or may not have patients
• Phlebotomy – peripheral blood draws only
• IV/VAT Team
• Resource Nurse – as available
• RT, 24/7
• Hospitalist, 24/7
• Intensivist, 24/7 (virtual after hours)
• Telemetry monitor tech: No monitoring tech; nurses read monitors and respond
• Virtual Nurses 24/7

· Technology/Equipment:

• EMR: EPIC
• IV Pump: Alaris
• Med dispensing: Omnicell
• Monitors: Phillips

· Floating:

• As needed within Union
• Will be required to float per region needs – will require floating to all facilities listed below, as needed, within scope of practice – DECLINE if not agreeable
• Region 2 - Pineville, Anson, Union, Union West, Central Division (CMC Main + CMC Mercy + Levine Children’s Hospital)
• If floating mid-shift, Traveler will be paid for the time traveling between facilities (will remain on the clock)

· Orientation (facility and unit) :

• NEO
• 2 days departmental

· Scheduling:

• Weekend rotation: every other
• No call for travelers
• Holiday Expectations: Travelers will work 75% of holidays
• RTO: Resource Team approval

· Other notes:

• Scrub Color: Navy
• Parking: Free