RN - CVICU
About Facility:
o Community based hospital in urban area, High Point, NC
o 601 N. Elm Street, High Point, NC 27262
▪ 304 licensed beds
▪ Teaching Status: Interns, Residents, APPs, Nursing Students
▪ Chest Pain Center Accredited from American College of Cardiology
▪ Stroke Center designated by TJC: Primary Stroke Center
● Unit Information:
o Beds: 8
▪ Average Daily Census - 7
o Minimum Years of Experience required? 1 year of ICU experience
o Will you accept a first-time traveler? Yes
● Patient Types/Common Diagnoses:
o General medical patients requiring advanced hemodynamics and continuous monitoring of cardiac, respiratory, hemodynamic and neurologic status having an MI, cardiac interventional procedure
o General, Vascular, or thoracic surgical patients requiring continuous cardiac, respiratory or hemodynamic support include pharmacological vasopressor support
o intra-aortic balloon pump or Impella assistance - confirmed
o immediate post open heart
o Respiratory compromise or failure requiring medium or high flow oxygen devices, NIPPV or ventilator support
o Renal Failure with CRRT capabilities
o Severe Sepsis with hemodynamic instability and IV resuscitation
o Cardiac arrest requiring targeted temperature management
o Neuro – Medical cases Stroke with or without Tenecteplase (TNK) or Traumatic Fall with some neurosurgical intervention (EVD management or ICP monitoring)
o DKA/HHNK – Insulin drips with Endotool titrations
● Patient Ratios:
o RN: ICU Level of care is 1:2; Special high acuity of RN 1:1 care (immediate post open heart, Impella/IABP support, CRRT, or organ procurement); Overflow patients waiting on stepdown Intermediate the RN to patient ratio is 1:3 or 1:4 depending on interventions.
o CNA: Varies and we do have Nurse Tech support.
● Required Licensure & Certifications:
o BLS, ACLS, and NIHSS – Resource Team requirements
● Skills required:
o Cardiac and hemodynamic monitoring, cardiac strip and rhythm interpretation, arterial lines, titration of drips, ventilator care (we have Respiratory Therapist 24/7), vascular lines, chest tubes or drains, post procedure site care – trans radial bands, femoral venous or arterial sheaths, CRRT, immediate post open heart experience, advanced cardiac support-Impella/IABP, Advanced hemodynamics including Swan, temporary pacemaker, post pulmonary artery thrombectomy (EKOS, Prenumbra, Inari)
● Support within the Department:
o CNA? Yes
o Receptionist/Secretary – Duties covered by RN's and NT's on unit
o Charge nurse? Yes
o Phlebotomy? Varies
o IV/VAT Team? No
o Resource Nurse? No (Charge Nurse serves as Resource)
o Rapid Response Team? Yes
o RT 24/7? Yes
o Hospitalist 24/7? Yes
o Intensivist 24/7? Yes
o Telemetry monitoring? The RN is responsible for continuous cardiac monitoring including interpretation of the rhythm
● Technology/Equipment:
o EMR: EPIC
o IV Pump: Baxter
o Med dispensing: Omnicell
o Monitors: Philips Intellivue
o Unit specific equipment: CRRT-NxStage; Edwards Lifescience-Hemosphere/FloTrac for minimally invasive advanced hemodynamics; TTM – Artic Sun
● Floating: If yes, where?
o Float within the critical care division or Intermediate Care.
● Orientation (facility and unit) :
o Orientation – Week 1 - hours are allotted to complete NTO, EPIC training, and Online CBL (Healthstream)
o 12-hour departmental specific orientation shift with an RN Preceptor
● Scheduling:
o Weekend rotation: every other
o On call? None
o Holiday Expectations: Travelers will work 75% of holidays
o RTO: Resource Team approval
o Shift times: Days = 0700-1930; Nights = 1900-0730.
o Schedule cycle: Every 6 weeks
● Other notes:
o Scrub Color: Royal Blue
o Parking: Free
o Unit Culture: Positive Team focused (High Tech, High Touch); We work as ONE team.
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