Registered Nurse - Pcu

*PCU/CCU RN* Mix of PCU & CCU; must have experience in both areas. Very heavy on PCU! - # of Beds: 32 - Nurse/Patient Ratios: ICU 1:2, PCU 1:4, MedSurg 1:5 - Required Certifications: ACLS, BLS, NIHSS - Common diagnoses: Heavy cath lab - Coronary angiograms & stenting, peripheral angiograms & stenting, sepsis, neurosurgery, drug & alcohol abuse, COPD, CHF, etc. ICU: occasional IABP, Impella (higher acuity typically go to core staff) Occasional peds - go to core staff. - Experience: First time traveler okay. Prefer ICU background, otherwise must have PCU background. Must be able to titrate drips. Must be comfortable taking PCU (1:4) or MedSurg (1:5) patients - there are time that there are no 'ICU' patients on the floor. - Are RNs required to titrate drips?: Yes - Common titratable: ICU: all common critical care drips. PCU: Cardizem, insulin, pressors/inotropes, heparin, Lasix, bumex. - Is there a Charge Nurse on each shift: 1 charge nurse every shift. They only take patients if absolutely necessary. They respond to all codes/rapids. House supervisor does bed control/placement. - Are there nurse aids on this unit: Techs are generally staffed (census/staffing dependent) ratios: 1:8-16. - Hospitalist in house 24/7: Hospitalist in house 24/7 for their patients. Some primary care physicians follow their patients here. No intensivist. - RT in ICU 24/7: Yes - RT Equipment: Vents, CPAP, BIPAP, heated high flow (Opti flow). - Are there Tele/Monitor Techs on this unit: Tele tech is located in the ICU. They watch all 3rd floor patients, 4th floor & some ER. RNs are required to be able to read the strips on the monitors when they assess the patient, but telemetry is always watching. Tele monitors are Phillips. - Shifts & Scheduling: 12Hr shifts: 545a-6p & 545p-6a. Core staff scheduled first, then agency fill in. Schedule is out for 6-weeks at a time, 2 weeks in advance. - Weekend Requirements: At least every other, if not most all weekends - Holiday Requirements: Varies, but usually we will staff them into holidays, as needed. - Is there a call or standby requirement: No - Floating Requirements: No floating outside of this mixed unit. - Scrub Color: Royal blue scrubs. - How many shifts of unit specific orientation: Hospital orientation is M-F the first week, then they will train for 2 shifts on the unit. The hospital orientation covers EPIC training, basic skills, & manager expectations. Radius Rule: Cannot live in North Platte, NE