Unit Information • Facility: Maimonides Medical Center • Unit: PCU Float • Service Line: Nursing • Nursing Category: Acute Care • Specialty: RN – Progressive Care Unit • Unit Type: PCU Float/Stepdown • Number of Beds: 11–20 • Scrub Color: Navy Blue • Nurse-to-Patient Ratio: 1:3 • Ancillary Staff: Not applicable • Call Required: No • Float Support: Telemetry, PMCU, 6W ( stroke, neuro), 7W tele, PSCU, G2 / B2 (cardiac step down) and anywhere in medicine • EHR: Not specified Patient Population • Adolescent • Adult • Geriatric Common Diagnoses and Treatments The PCSU provides care for: • Preoperative surgical patients • Postoperative surgical patients • Observation patients • Cardiac progressive-care patients • Patients with cardiac sheaths • Patients with chronic stable ventilators • Patients requiring pacemaker management • Patients receiving vasoactive drips • Patients receiving antiarrhythmic drips • Patients receiving noncardiac drips Required Clinical Skills Progressive and Cardiac Care • Care of cardiac progressive-care patients • Cardiac sheath management and removal • Telemetry interpretation • 12-lead EKG interpretation • Epicardial pacemaker management • Central venous pressure monitoring • Blood and blood product administration • Cooling and warming blanket management • Chronic stable ventilator care Airway and Respiratory Care • Breathing treatments • Chest tube setup and care • CPAP and BiPAP • Ventilator care • Tracheostomy care Line Management and Equipment • Central lines • PICC lines • Triple-lumen catheters • Drains • Feeding tubes • Epidural pumps • External ventricular drains and intracranial pressure monitoring • PCA pumps • Wound vacuums • Hemovac drains • PowerHeart pacemakers • Warming blankets Titrated IV Medications Experience administering and titrating the following medications is required: • Heparin • Amiodarone • Cardizem • Beta blockers • Dobutamine • Magnesium sulfate • Levophed • Norepinephrine Stable Drips and Medications Experience administering or monitoring: • Amiodarone • Cardizem • Heparin • Antiseizure medications • Lasix • Neo-Synephrine • Nicardipine • Nitroglycerin Candidate Qualifications • Active Registered Nurse license as required by the facility and applicable jurisdiction • Progressive care, stepdown, telemetry, or comparable acute-care nursing experience • Experience caring for preoperative and postoperative surgical patients • Competency in cardiac rhythm and 12-lead EKG interpretation • Experience managing central lines, chest tubes, drains, wound vacuums, pacemakers, and cardiac sheaths • Experience caring for patients receiving titrated cardiac, vasoactive, and antiarrhythmic medications • Current certifications required by the facility for the assignment. Candidate Qualifications • Active Registered Nurse license as required by the facility and applicable jurisdiction • Progressive care, stepdown, telemetry, or comparable acute-care nursing experience • Experience caring for preoperative and postoperative surgical patients • Competency in cardiac rhythm and 12-lead EKG interpretation • Experience managing central lines, chest tubes, drains, wound vacuums, pacemakers, and cardiac sheaths • Experience caring for patients receiving titrated cardiac, vasoactive, and antiarrhythmic medications • Current certifications required by the facility for the assignment.