Registered Nurse/IMC

Respiratory Skills REQUIRED: BiPAP/CPAP management/maintenance, Care of Ventilated Patient, Chest tubes-Emerson/PleurEvac, High Flow Nasal Cannula (HFNC), Interpretation of Arterial Blood Gases (ABGs), Nasal Cannula, Non-invasive airway management, Oxygen administration, Oxygen tanks & Tracheostomy care/management. *Neurological/Psychiatric Skills REQUIRED: Aneurysms and repair, Craniotomy, CVA (Cerebrovascular Accident), Intracranial bleeds, Lumbar drains, Post TPA care, Pre/Post neurosurgery, Seizure disorders, Spinal cord injury, Substance Withdrawal & Traumatic Brain injury.

### RTO after booking is NOT allowed and is NOT allowed to be worked out onsite. Any call-offs or additional RTO on the unit could possibly turn into a Cancel and DNR ###

***Must be able to titrate LEVO***

***Must have a teamwork approach and meet Novant behavioral expectations in all interactions with patients and staff***
***Must be able to adhere to the call-off policy -STRONGLY ENFORCED***

REQUIRED SKILLS / CERTS / EXP:
Minimum Years of Experience: 2 Years Minimum Experience REQUIRED. ***NM requesting Neuro experience - If limited, please screen and call out at the bottom of the summary note***
Traveler Experience: Unit WILL NOT Accept 1st Time Travelers
Locals Accepted / Rate Difference: Yes
*Work Setting Skills REQUIRED: Neuro Stepdown, PCU/DOU/IMC/Stepdown & Telemetry
*Cardiac Monitoring and Emergency Response Skills REQUIRED: Interpretation of dysrhythmias, Management of dysrhythmias, Telemetry - on the unit monitoring & Use of Rapid Response/Code teams
*Cardiovascular Skills REQUIRED: TR Band
*Endocrine/Metabolic Skills REQUIRED: IV insulin protocols & Titration of Insulin drips
*Gastrointestinal Skills REQUIRED: Feeding tube care and management
*Genitourinary/Renal Skills REQUIRED: Continuous Bladder Irrigation (CBI) & Pre/Post Hemodialysis Management
*IV therapy/Phlebotomy Skills REQUIRED: Blood Product Administration, Central line care/management, Peripheral Line Care/Management, PICC line management & Starting and maintaining IVs
*Medications Skills REQUIRED: Heparin Protocols, PCA, Thrombolytic Agents, Titrate Cardiac drips & Titrate Vasoactive drips
*Neurological/Psychiatric Skills REQUIRED: Aneurysms and repair, Craniotomy, CVA (Cerebrovascular Accident), Intracranial bleeds, Lumbar drains, Post TPA care, Pre/Post neurosurgery, Seizure disorders, Spinal cord injury, Substance Withdrawal & Traumatic Brain injury
*Plastics Skills REQUIRED: Surgical Drains
*Respiratory Skills REQUIRED: BiPAP/CPAP management/maintenance, Care of Ventilated Patient, Chest tubes-Emerson/PleurEvac, High Flow Nasal Cannula (HFNC), Interpretation of Arterial Blood Gases (ABGs), Nasal Cannula, Non-invasive airway management, Oxygen administration, Oxygen tanks & Tracheostomy care/management
*Professional Topics and Skills REQUIRED: Isolation Precautions/PPE & Wound Care/Wound Vac
*Additional Skills REQUIRED: Must be able to titrate LEVO & SCREEN + Call out if Neuro exp is limited

***EPIC EXPERIENCE REQUIRED***

Certs: ACLS, BLS, NIHSS

PREFERRED SKILLS / CERTS / EXP:
-IV Therapy/Phlebotomy Skills: Accessing/Managing Ports & Phlebotomy
-Additional Skills: Triage, ICP, Conscious Sedation, and Charge Nurse Experience.
Certs: CCRN, TNCC, and CPI.

JOB DETAILS:
-RATIOS: 1:4. Avg. Daily Census: Unit will max at 24 patients; Rooms/Beds: 24
* "Normal population"= Intermediate population that is sub-specialized with neurological population along with medical intermediate patients.
-SHIFT: 36 and 48s can be offered
-Unit Will Accept 13 - 26 Weeks!
-12-HOUR DAYS; 06:45 - 19:15
-Call Requirement: NONE
-Float Requirement: Other intermediate areas like 6a or 5A PCTU or 5C Cardiac Intermediate along with critical care (ICU/Stepdown patients)
-Weekend Requirement: travelers will be required to work a minimum of 3 weekend shifts every six weeks

PATIENT DIAGNOSES: Intermediate population that is sub specialized with neurological population along with medical intermediate patients.

SPECIAL PROCEDURES / UNIT DETAILS: This patient population will be geared towards the neurological patients along with the medical intermediate patient population.

***Must have a teamwork approach and meet Novant behavioral expectations in all interactions with patients and staff. Must be able to adhere to Call off policy -STRONGLY ENFORCED.

SPECIAL EQUIPMENT: N/A

UNIT SYSTEMS: Pyxis, EPIC, SBAR

SCHEDULING TYPE: Per Unit Needs

UNIT ORIENTATION: 32 Hours; 8-hour computer class plus two shifts on the unit of orientation after initial Hospital Orientation.

SCRUBS: Not Provided. Any combination of navy blue and white

INTERVIEW AVAILABILITY: *****Please provide your candidate's interview availability for the next 72 hours while submitting candidates to avoid holding up the approval process. Manager WILL NOT OFFER without speaking to/interviewing the candidate first*****

*** INTERNAL NOTES ***
NOTE: Candidates must be reviewed against the UD, not a clinical track.
***Must pass EKG Testing prior to start for, this specialty***
***Must have a teamwork approach and meet Novant behavioral expectations in all interactions with patients and staff***
***Must be able to adhere to the call-off policy -STRONGLY ENFORCED***Facility Name: *** Presbyterian Medical Center

Unit: ***

Shift:Day 3x12-Hour (06:45 - 19:15)

Overtime Multiplier: 40 total hours in 1 week : 1%

Double Time Multiplier: None

Charge Nurse: ***

On Call: ***

Call Back: 1%

Holiday: 1%

Observed Holidays: New Year's Day: Falls Within: 7:00 PM day before - 7:00 AM day after
Labor Day: Falls Within: 7:00 PM day before - 7:00 AM day after
Independence Day: Falls Within: 7:00 PM day before - 7:00 AM day after
Memorial Day: Falls Within: 7:00 PM day before - 7:00 AM day after
Thanksgiving: Falls Within: 7:00 PM day before - 7:00 AM day after
Christmas: Falls Within: 7:00 PM day before - 7:00 AM day after

Holiday Comments: None