RN

RN - PCU About Facility Community-based hospital located in an urban area304 licensed bedsTeaching status includes interns, residents, advanced practice providers, and nursing studentsChest Pain Center accredited by the American College of CardiologyDesignated Primary Stroke Center by The Joint Commission Unit Information Beds: 4 Average daily census: 4 Minimum experience required: 1 year in medical-surgical with telemetry or progressive care experience First-time travelers accepted Patient Types and Common Diagnoses General medical patients requiring continuous monitoring of cardiac, respiratory, hemodynamic, and neurologic status, including NSTEMI or post-STEMI, cardiac interventional procedures, electrophysiology procedures, heart failure, and post-stroke care General, vascular, or immediate thoracic surgical patients needing continuous cardiac, respiratory, or hemodynamic support, including pharmacological titration of cardiac anti-arrhythmic drips (e.g., amiodarone, cardizem, cardene, dobutamine, tridil) Patients with respiratory failure requiring medium or high flow oxygen devices or non-invasive positive pressure ventilation (NIPPV) Patient Ratios RN: 1:3 or 1:4 depending on interventions CNA: Yes, ratio varies Required Licensure & Certifications BLS, ACLS, and NIHSS (Resource Team requirement) Skills Required Cardiac and hemodynamic monitoring, cardiac strip and rhythm interpretation Management of arterial lines and titration of drips Non-invasive ventilator care (BiPAP/CPAP) with Respiratory Therapist support 24/7 Care of vascular lines, chest tubes or drains Post-procedure site care including transradial bands, femoral venous or arterial sheaths Post-electrophysiology permanent pacemaker or ICD care Post pulmonary artery thrombectomy (Prenumbra, Inari) Support within the Department CNA support: Yes Receptionist/HUC: No Charge nurse: No Phlebotomy: Varies IV/VAT Team: No Resource nurse: No (Charge Nurse from ICU or CTU serves as Resource) Rapid Response Team: Yes Respiratory Therapist available 24/7 Hospitalist available 24/7 Telemetry monitoring: RN responsible for continuous cardiac monitoring including rhythm interpretation; Telemetry Techs are a resource Technology and Equipment Electronic Medical Record: EPICIV Pump: BaxterMedication dispensing: OmnicellMonitors: Philips Intellivue; all 18 rooms equipped with in-room monitorsUnit-specific equipment: Arterial lines for invasive blood pressure monitoring interfaced with Philips monitors Floating Float within the critical care division or Intermediate Care. Orientation 36 hours during week 1 including New Team Orientation and online computer-based learning (Healthstream) 12-hour department-specific orientation shift with an RN preceptor Other Notes Scrub color: Royal Blue Parking: Free Unit culture: Positive, team-focused (High Tech, High Touch); emphasis on working as one team #J-18808-Ljbffr