Registered Nurse - Cardiac Tele
Bestica Healthcare
Cardiac Unit Nurse
RTO after booking is not allowed and is not allowed to be worked out onsite. Any call-offs or additional RTO on unit could possibly turn into a cancel and DNR.
Required Skills/Certs/Exp: Minimum years of experience: 2 years (It is a challenging and very busy unit - must have similar experience with ratios/acuity). Traveler experience: Yes, willing to accept first-time travelers. Locals accepted / rate difference: Yes. Skills: IV start and telemetry, pre and post procedure patients cardiac pts., cardiac drips, PCI. Certs: ACLS, BCLS, and NIH.
Job Details: Target ratios: 1:5-6. Could fluctuate based on unit needs, but travelers must be comfortable taking 6 patients. Unit will accept 13-26 weeks! 36 hours can be offered! Shift: 12 hr nights; 1845 - 07:15. RTO: 7 day max for AYA auto offer. No block scheduling. Call requirement: Yes; frequency of on call depends on patient census. Float requirement: Yes. Weekend requirement: Every other weekend, 2 Mondays and 2 Fridays in a 6-week period is required.
Patient Diagnoses: We are the primary cardiac and stroke unit. Stable pre/post care for pacemaker implantation, implanted cardioverter/defibrillators, and cardiac catheterization, TR bands. Post uncomplicated interventional peripheral vascular procedure/cardiac interventions without sheaths(s). Non-rebreather mask with stable O2 saturation (must be on pulse ox), unstable angina, low risk chest pain evaluation, CHF, dysrhythmias, all new CVA, TIA patients. Run multiple drips: Cardiazem, Dopamine, Amiodarone, etc.
Special Procedures/Unit Details: Can titrate Cardizem drips. Should be used to a fast-paced unit. We typically turnover 78 to 90 patients a week. That means a nurse with a 6-patient assignment can end up turning over their complete assignment and starting over. We do have the addition of a team lead to assist with admissions and discharges. Unit currently houses COVID positive patients with the use of opti-flow and Bipap. The high side (23) bed side of CTU is a COVID unit that takes patients on opti-flow and acute Bipaps during a COVID surge.
Special Equipment: Telemetry and pulse ox High Flow O2 (STABLE), Non-Rebreather Mask (Only if Palliative), Bipap can be used, only if it is chronic use, NO NEW BIPAP Blanketrol NO: UNSTABLE O2 W/ BIPAP, NON REBREATHER, Respiratory Rate > than 35, O2 Sat < 85% HIGH FLOW O2 must have pulse ox ordered NO CONTINUOUS KCl w/ Concentration > than 60mEq/Liter, NO NEW BIPAP
Unit Systems (Medication, Documentation, Communication): Pyxis, Dimensions (EPIC), SBAR Scheduling type: Self scheduling per above guidelines and with oversight from leadership to balance as needed. No block scheduling. Unit orientation: 36 hours. Travelers must be available every day week one for hospital orientation. Scrubs: Navy blue scrubs or white scrubs or a mixture of the two and Novant t-shirts are allowed all days of the week. Jackets are to be the same material (not fleece) and color as uniforms. Also, no crocs with holes.
Bestica Healthcare$55 per hour
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