RN - PCU

RN - PCU

●        ABOUT FACILITY:

·         1 Medical Center Blvd, Winston-Salem, NC 27157

·         885 licensed beds

·         Level 1 Trauma Designation

·         Teaching Hospital: Yes, Academic Medical Center

·         Chest Pain Center

·         Stroke Center

●        UNIT INFORMATION:

·         Beds: 28

▪          Average census 26

·         Minimum Years of Experience required? 1 year of experience in Cardiology

·         Will you accept a first-time traveler? Yes

●        PATIENT TYPES/COMMON DIAGNOSES:

·         Cardiac PCU – Acute Coronary Syndrome, Heart failure, NSTEMI/STEMI, Chest Pain r/o, post cardiac cath (PCI or without stent), post EP procedures – pacemaker insertion, ICD, ablation; Arrhythmia management, Vascular – Peripheral Artery Disease, AAA Repair, DVT/PE

●        PATIENT RATIOS:

·         RN: 1:4-5

·         CNA: 1:11-14

●        REQUIRED LICENSURE & CERTIFICATIONS:

·         BLS, ACLS, NIHSS

●        SKILLS REQUIRED:

·         Cardiac rhythm interpretation; Cardiac post-procedural experience

·         REQUIRED to be comfortable titrating gtts – Argatroban, Digoxin, Diltiazem, Dobutamine, Dofetilde, Dopamine, Esmolol, Lasix, Insulin, Labetalol, Lidocaine, Milrinone, Nicardipine, Nitroglycerine, Sotalol, Tirofiban

●        SUPPORT WITHIN THE DEPARTMENT:

·         CNA: Supports the RN by obtaining VS and blood glucose checks; assists with hourly safety rounds and ADLs

·         Receptionist/HUC

·         Charge nurse: may or may not have patient assignment

·         Phlebotomy? Yes, peripheral blood draws

·         No IV/VAT team

·         RT 24/7? Yes, available – will need to page for assistance when needed

·         Hospitalist 24/7

·         Intensivist 24/7

·         Telemetry monitoring/tech - NURSES RESPONSIBLE FOR MONITORING/VERIFYING STRIPS - once a shift

●        TECHNOLOGY/EQUIPMENT:

·         EMR: Epic

·         IV Pump: Alaris

·         Med dispensing: Omnicell

·         Monitors: Philips

·         Unit specific equipment:

●        FLOATING: IF YES, WHERE?

·         Within the cardiology division first, then to any med-surg unit within the hospital. Centralize telemetry.

·         5 Facility Float Clause - Emergency Only

●        ORIENTATION (facility and unit):

·         NEO

·         2 days departmental

●        OTHER NOTES:

·         Scrub Color: Royal Blue

·         Parking: Free, on site

·         Unit Culture: Family atmosphere. #1 expectation is teamwork.

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