RN - CVICU

RN - CVICU Duration: 13 weeks Location: High Point North, NC Shift: 7pm-7am About Facility Community based hospital in urban area, High Point, NC 601 N. Elm Street, High Point, NC 27262 304 licensed beds Teaching Status: Interns, Residents, APPs, Nursing Students Chest Pain Center Accredited from American College of Cardiology Stroke Center designated by TJC: Primary Stroke Center Unit Information Beds: 8 Average Daily Census - 7 Minimum Years of Experience required - 1 year of ICU experience Will you accept a first-time traveler - Yes Patient Types / Common Diagnoses General medical patients requiring advanced hemodynamics and continuous monitoring of cardiac, respiratory, hemodynamic and neurologic status having an MI, cardiac interventional procedure General, Vascular, or thoracic surgical patients requiring continuous cardiac, respiratory or hemodynamic support include pharmacological vasopressor support Intra-aortic balloon pump or Impella assistance - confirmed Immediate post open heart Respiratory compromise or failure requiring medium or high flow oxygen devices, NIPPV or ventilator support Renal Failure with CRRT capabilities Severe Sepsis with hemodynamic instability and IV resuscitation Cardiac arrest requiring targeted temperature management Neuro – Medical cases Stroke with or without Tenecteplase (TNK) or Traumatic Fall with some neurosurgical intervention (EVD management or ICP monitoring) DKA/HHNK – Insulin drips with Endotool titrations Patient Ratios RN: ICU Level of care is 1:2; Special high acuity of RN 1:1 care (immediate post open heart, Impella/IABP support, CRRT, or organ procurement); Overflow patients waiting on stepdown Intermediate the RN to patient ratio is 1:3 or 1:4 depending on interventions. CNA: Varies and we do have Nurse Tech support. Required Licensure & Certifications BLS, ACLS, and NIHSS – Resource Team requirements Skills required Cardiac and hemodynamic monitoring, cardiac strip and rhythm interpretation, arterial lines, titration of drips, ventilator care (we have Respiratory Therapist 24/7), vascular lines, chest tubes or drains, post procedure site care – trans radial bands, femoral venous or arterial sheaths, CRRT, immediate post open heart experience, advanced cardiac support-Impella/IABP, Advanced hemodynamics including Swan, temporary pacemaker, post pulmonary artery thrombectomy (EKOS, Prenumbra, Inari) Support within the Department CNA- Yes Receptionist/Secretary – Duties covered by RN's and NT's on unit Charge nurse- Yes Phlebotomy- Varies IV/VAT Team- No Resource Nurse- No (Charge Nurse serves as Resource) Rapid Response Team- Yes RT 24/7- Yes Hospitalist 24/7- Yes Intensivist 24/7- Yes Telemetry monitoring- The RN is responsible for continuous cardiac monitoring including interpretation of the rhythm Technology / Equipment EMR: EPIC IV Pump: Baxter Med dispensing: Omnicell Monitors: Philips Intellivue Unit specific equipment: CRRT-NxStage; Edwards Lifescience-Hemosphere/FloTrac for minimally invasive advanced hemodynamics; TTM – Artic Sun Floating Could float within scope of practice and below; this includes to MedSurg. If floating to MedSurg, would cap at a 1:4 ratio Orientation Week 1 - hours are allotted to complete NTO, EPIC training, and Online CBL (Healthstream) 12-hour departmental specific orientation shift with an RN Preceptor Shift Information 7pm-7am On Call, Call Back Requirements: None Weekend Rotation: Every other Holiday Requirements: Travelers will work 75% of holidays Benefits Medical, dental, vision, and retirement options Equal Opportunity Employer TalentBurst is an equal opportunity employer committed to an inclusive and diverse workforce. #J-18808-Ljbffr