Registered Nurse - PCU

JOB DESCRIPTION

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:
  • New unit opening 2/3/2026. Will initially open as high acuity PCU and transition to ICU by end of 2026
  • Beds: 10-12
  • Minimum Years of Experience required? 2 years of ICU or PCU experience, CVICU preferred
  • Starting the end of September 2026/beginning of October 2026, this experience will need to be 2 years of ICU specific experience
  • Will you accept a first-time traveler? Yes
• Patient Types/Common Diagnoses:
  • Heavy cardiac CHF, cardiomyopathy, tamponade, shock, STEMI/NSTEMI, post-cath, dysrhythmias, arrhythmias, post-pacemaker/ablations, external/temporary pacers, post-CABG/open hearts, heart transplants (2-4 per month), post-vascular surgeries (AAA, fem-pops); EVARs and thoracic outlets (experience not required)
• Patient Ratios:
  • Initially, will be 1:3-4. Once transitioned to ICU will be 1:2-3. Even if patients have Impella, could be 1:3 as they are typically stable waiting for transplants
• Required License, National Certification, Certs:
  • BLS, ACLS, NIHSS
• Skills required:
  • General nursing skills, general ICU skills, experience with above patients
  • Swanz and Impella experience required
  • Wound care and dressing changes a must as will see several post-surgical patients, defibrillation, EKG interpretation, post-arrest, cardioversions, manage and pull sheaths, bipap/cpap/hi-flow, chest tubes, trachs, art lines, all drips (pressors, cardiac, sedation, etc.). Will see vented patients once unit transitions to ICU
  • Once unit transitions to ICU, travelers will be expected to care for fresh open hearts
  • Highly preferred to have experience with LVAD and post-cardiac transplant patients, but can train here
  • No ECMO. IABPS will be accepted once unit transitions to ICU
• Support within the Department:
  • 1 CNA
  • No unit secretary initially but will have one once transitioned to ICU
  • Charge nurse does not take patients
  • Manager there in the morning, ANM there until midnight
  • Phlebotomy
  • PICC Team here
  • Resource Nurse charge RN for 5 Reynolds will help support this unit too
  • RT 24/7
  • Hospitalist 24/7
  • Intensivist 24/7
  • Resident physician
  • Remote Tele Techs will call RN directly for issues. Check off strips every few hours. Monitors in every room too
• Technology/Equipment:
  • EMR: EPIC
  • IV Pump: Alaris
  • Med dispensing: Omnicell
• Floating:
  • Could float to other units within scope of practice and below (7 Ardmore, 7 Reynolds, 5 Reynolds, Day Hospital, 5CC West will be likely units to float, but could float to other units)
  • Will be put in rotation with other travelers
• Orientation (facility and unit):
  • NEO
  • 2 shifts of orientation on shift hired into
• Other notes:
  • Scrub Color: Royal Blue
  • Parking: Free

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