Travel RN - Telemetry - Progressive Care Unit

American Traveler is hiring an experienced RN for a Progressive Care Unit (PCU) position requiring strong vasoactive drip titration experience and NC or compact RN licensure.

Job Details

• PCU/Stepdown unit that functions similarly to an ICU with 20 beds and an ADC of 18,
• Target patient ratio of 1:3-4,
• Night shift, 12-hour shifts (3x12), 18:45-7:15,
• Patients include post rapid response, respiratory distress, unstable hemodynamics, withdrawal, GI bleeds, post-op GYN/GU/GI/thoracotomy/neuro/ortho, and OB complications (Pitocin),
• Patient population spans adolescent, adult, and geriatric,
• Only one pressor drip per patient permitted on unit; additional pressors require ICU transfer,
• Drips managed on unit include Cardizem, Nitro, Precedex, Cardene, Levophed, Dopamine, Dobutamine, and Neo,
• Bedside telemetry monitors with remote backup used for dysrhythmia recognition and treatment,
• Unit uses A-lines, BiPAPs, chest tubes, and tracheostomies; no ventilators on unit,
• Uses Pyxis and Epic systems, with Epic experience preferred,
• Floating required as needed to a sister ICCU unit,
• Weekend requirement of every other weekend,
• No block scheduling; schedule created by nurse manager,

Job Requirements

• Active NC or compact RN license (pending license/certs OK for submission),
• Minimum 2 years of relevant RN experience required,
• Current BLS, ACLS, and NIHSS certifications required,
• Required skills: arterial line management, titration of vasoactive and cardiac drips, PCU/DOU/IMC/Stepdown and telemetry experience,
• Experience interpreting and managing dysrhythmias, and use of rapid response/code teams,
• Experience with IV insulin protocols, blood product administration, and heparin protocols,
• Central line, peripheral line, and PICC line care/management experience,
• Experience with chest tubes (Emerson/Pleur-evac), external CPAP/BiPAP, high flow nasal cannula, and nasal cannula,
• Non-invasive airway management and tracheostomy management skills,
• Isolation precautions/PPE experience,
• IV start and telemetry experience,
• Must pass EKG testing prior to start,

Additional Information

• Provide advanced-level nursing care to hemodynamically unstable patients including drip titration and dysrhythmia management,
• Recognize and respond to rapid response and code situations on the unit,
• Weekly hospital orientation with mandatory attendance for all classes,
• Navy, white, or a combination of the two required for scrubs,
• Must work 2 of the 3 major holidays,
• No RTO permitted during the first week of assignment; up to 7 days RTO may be auto-approved outside of holidays,
• First-time travelers are welcome to apply,
• Former Novant Health or New Hanover PERM/PRN/EP employees must wait 12 months before reapplying, with facility approval required,
• Local candidates within 50 miles accepted at a lower rate,
• Travel pairs allowed if on different units with separate transportation and schedules