RN - Progressive Care (Step-Down)
Lamb Staffing
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.
$1,899 per week
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