Job Title: RN - Step Down
Profession: Registered Nurse
Specialty: Step Down
Duration: Long-Term
Shift: AM (07:00 – 19:00)
Hours per Shift: 12 hours
Experience: Minimum 18 months of recent cardiac unit experience
License: RN License
Certifications: N/A
Must-Have:
Strong cardiac background
EPIC experience
Ability to independently interpret cardiac rhythms
Successful passing of a Dysrhythmia Exam on the first attempt
Chest tube experience
Rating of "4" on all cardiac skills on the skills checklist
Description:
This is a high-acuity, heavily cardiac-focused PCU unit.
Travelers should have a robust cardiac background.
Cardiac drips experience is required, including: Insulin, Milrinone, Dobutamine, Amiodarone, Heparin, Lasix, and Nitroglycerin.
No ventilator patients will be present.
Heart transplant and LVAD experience is preferred, with training available if needed.
The typical nurse-to-patient ratio is 1:4 to 1:5.
Expect high patient acuity, frequent admissions and discharges, and significant procedural volume.
Common patient populations include: Heart Failure, Atrial Fibrillation, Atrial Flutter, Supraventricular Tachycardia, Ventricular Tachycardia, Ventricular Fibrillation, Fluid Volume Overload, Chest Pain, Hypertension, Heart Transplant Patients, Congenital Heart Disease, and LVAD Patients.
Common procedures performed in this unit include: Right & Left Heart Catheterizations, TR Band Management, Sheath Removal/Management, Stent Placement, Valve Replacement Procedures, STEMI/NSTEMI Care, Pacemakers, ICDs, Cardioversions, Ablations, and Groin Site Management.
Travelers may float to similar cardiac/PCU units as needed.
Comfort with cardiac acuity, telemetry requirements, and procedures is essential before accepting this assignment.