RN - PCU
RN - PCU
About Facility:
o 637 licensed beds
o Level 1 Trauma Designation
o Teaching Hospital
o Chest Pain Center
o Stroke Center
● Unit Information:
o Beds: 24
▪ Census? 24
o Minimum Years of Experience required? 2 years
o Will you accept a first-time traveler? Yes
● Patient Types/Common Diagnoses:
o Primary Population- Cardiothoracic / vascular surgical patients, pre-operative and post operative step-down progressive care
o Secondary patient population-Cardiology, pulmonology, general medical / surgical
o Pre / post LVAD (Left Ventricular Device) patients
o Patients with acute or chronic disease
o Co-morbidities common to med-surg population: diabetes, hypertension, infections, CHF, electrolytes imbalances, etc.
● Patient Ratios:
o RN: 1:4-6
o LPN: 1:4-6
o CNA: 2-3 per shift
● Required License, National Certification, Certs (BLS, ACLS, etc.), or other position specific requirements such as Driver's License and/or Insurance:
o BLS (Basic Life Support); BCR (Basic Cardiac Rythm); ACLS; NIHSS – all required
o National certification - Medical-Surgical certification - preferred
● Skills required:
o trach chare, chest tube management, PIV starts, glucommander, insulin drips, heparin drips, drips to titrate to HR NOT BP
o Strong clinical assessment and med-surg nursing skills for Level 1 Trauma Hospital
o IV insertion and care, central line management
o Wound care and post op monitoring
o Cardiac monitoring and telemetry interpretation
o Care coordination with interdisciplinary teams
o Discharge planning and patient education, particularly on renal and fluid management
● Support within the Department:
o CNA: assist with VS, Glucose Checks, baths, feeding, ambulating patients, assisting turning patients, hourly rounding, transporting patients as needed (Hospital has designated Transport Team); obtain blood from blood bank
o Receptionist/HUC? Unit secretary on unit 7a-11p; then house wide call secretary 11p-7a
o Charge nurse? yes- each unit
o Phlebotomy? Most units are lab collect phlebotomy; nurses drawn from CVLs
o IV/VAT Team? Not an IV team - do have a PICC team
o Resource Nurse? Yes, discharge nurses; the resource team floats to all units
o RT 24/7
o Hospitalist 24/7
o Intensivist 24/7
o Telemetry monitoring/tech? Central Telemetry Unit
● Technology/Equipment:
o EMR: EPIC
o IV Pump: Alaris
o Med dispensing: Pyxis
o Monitors: Phillips
o Unit specific equipment:
▪ VS3 vital sign monitors, Nova Glucose Stat Strips Cardiac Telemetry monitoring
▪ Portable vital signs monitors (Dynamapp)
▪ Bladder scanners, IV pump, portable oxygen system
▪ Glucommander
▪ PCA pain management
▪ Suction machine
▪ Use of admission/ discharge protocol for rapid turnover
● Floating: If yes, where?
o All adult med surg / telemetry units in house
● Orientation (facility and unit) :
o 1 day orientation with work on educational modules
o 2 days departmental
● Scheduling:
o Weekend rotation: 5-6 weekend shifts out of 12 (on a 6-week schedule)
o On call? If so, what is that schedule? No call
o Holiday Expectations: work one shift of each major holiday (Thanksgiving Day or day after + 12/24 or 12/25 + 12/31 or 1/1
o RTO Requests: Manager approval
o Shift times: 7A-7P or 7P-7A
o Schedule cycle: every 6 weeks
● Other notes:
o Scrub Color: RN- Navy; LPN- Ceil Blue
o Parking: Free? Have free parking around campus or can pay to park in parking decks
o Unit Culture: busy but work as team
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