RN - CVICU

RN - CVICU
• About Facility:


o Community based hospital in urban area, High Point, NC


o 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:


o Beds: 8
• Average Daily Census - 7


o Minimum Years of Experience required? 1 year of ICU experience


o Will you accept a first-time traveler? Yes
• Patient Types/Common Diagnoses:


o General medical patients requiring advanced hemodynamics and continuous monitoring of cardiac, respiratory, hemodynamic and neurologic status having an MI, cardiac interventional procedure


o General, Vascular, or thoracic surgical patients requiring continuous cardiac, respiratory or hemodynamic support include pharmacological vasopressor support


o intra-aortic balloon pump or Impella assistance - confirmed


o immediate post open heart


o Respiratory compromise or failure requiring medium or high flow oxygen devices, NIPPV or ventilator support


o Renal Failure with CRRT capabilities


o Severe Sepsis with hemodynamic instability and IV resuscitation


o Cardiac arrest requiring targeted temperature management


o Neuro - Medical cases Stroke with or without Tenecteplase (TNK) or Traumatic Fall with some neurosurgical intervention (EVD management or ICP monitoring)


o DKA/HHNK - Insulin drips with Endotool titrations
• Patient Ratios:


o 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.


o CNA: Varies and we do have Nurse Tech support.
• Required Licensure & Certifications:


o BLS, ACLS, and NIHSS - Resource Team requirements
• Skills required:


o 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:


o CNA? Yes


o Receptionist/Secretary - Duties covered by RN's and NT's on unit


o Charge nurse? Yes


o Phlebotomy? Varies


o IV/VAT Team? No


o Resource Nurse? No (Charge Nurse serves as Resource)


o Rapid Response Team? Yes


o RT 24/7? Yes


o Hospitalist 24/7? Yes


o Intensivist 24/7? Yes


o Telemetry monitoring? The RN is responsible for continuous cardiac monitoring including interpretation of the rhythm
• Technology/Equipment:


o EMR: EPIC


o IV Pump: Baxter


o Med dispensing: Omnicell


o Monitors: Philips Intellivue


o Unit specific equipment: CRRT-NxStage; Edwards Lifescience-Hemosphere/FloTrac for minimally invasive advanced hemodynamics; TTM - Artic Sun
• Floating: If yes, where?


o Could float within scope of practice and below; this includes to MedSurg. If floating to MedSurg, would cap at a 1:4 ratio
• Orientation (facility and unit) :


o Orientation - Week 1 - hours are allotted to complete NTO, EPIC training, and Online CBL (Healthstream)


o 12-hour departmental specific orientation shift with an RN Preceptor
• Other notes:


o Scrub Color: Royal Blue


o Parking: Free


o Unit Culture: Positive Team focused (High Tech, High Touch); We work as ONE team.