Progressive Care Unit Registered Nurse - Contract

Title: Progressive Care Unit Registered Nurse
Location: High Point NC
Duration: 13 Weeks
Shift: 12hr Night Shift - 36
Shift Information: 1900-0700

Clinical Interviewing- Yes
On Call, Call Back Requirements: None
Weekend Rotation: EOW
Holiday Requirements: Travelers will work 75% of holidays
Floating Requirements: Float within critical Care division or Immediate Care

About Facility:

• 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:

• Beds: 4
• Average Daily Census = 4

Minimum Years of Experience required: 1 with Medical Surgical with telemetry experience or progressive care experience

• Will you accept a first-time traveler: Yes

Patient Types/Common Diagnoses:

• General medical patients requiring continuous monitoring of cardiac, respiratory, hemodynamic and neurologic status having a NSTEMI or status post STEMI, cardiac interventional procedure, electrophysiology procedure, heart failure, post stroke
• General, Vascular, or immediate thoracic surgical patients requiring continuous cardiac, respiratory or hemodynamic support include pharmacological titration of cardiac anti-arrhythmic drips (amiodarone, cardizem, cardene, dobutamine, tridil, etc)
• Respiratory failure requiring medium or high flow oxygen devices or 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, arterial lines, titration of drips, non-invasive ventilator care (BiPAP/CPAP, we have Respiratory Therapist 24/7), vascular lines, chest tubes or drains, post procedure site care – trans radial bands, femoral venous or arterial sheaths, post EP permanent pacemaker or ICD, post pulmonary artery thrombectomy (Prenumbra, Inari)

Support within the Department:

• CNA: 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
• RT 24/7: Yes
• Hospitalist 24/7: Yes
• Telemetry monitoring: The RN is responsible for continuous cardiac monitoring including interpretation of the rhythm. Telemetry Techs are a resource.

Technology/Equipment:

• EMR: EPIC
• IV Pump: Baxter
• Med dispensing: Omnicell
• Monitors: Philips Intellivue; all 18 rooms have an in room monitor
• Unit specific equipment: Arterial lines for invasive blood pressure monitoring interfaces with Philips monitors

Floating: If yes, where:

• Float within the critical care division or Intermediate Care.

Orientation (facility and unit):

• Orientation – 36 hours week 1 includes NTO and Online CBL (Healthstream)
• 12-hour departmental specific orientation shift with an RN Preceptor

Other notes:

• Scrub Color: Royal Blue
• Parking: Free
• Unit Culture: Positive Team focused (High Tech, High Touch); We work as ONE team.

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