Shift: Night 3x12-Hour (19:00 - 07:00)
Minimum Experience: 2 years; 1st Timers are accepted
Patient Population: Adults to Geriatrics
Certifications Required: BLS, ACLS

General Skills and Work Setting Requirements:
CV3 ICU is a cardiovascular intensive care unit. We specialize in taking care of a specific population of patients that include patients with LVADS, balloon pumps, swan catheters, temporary pacemakers, femoral and venous sheaths, arterial lines, TR bands, patients on CRRT. We are a 10 bed CV ICU. We have an intensivist present in the unit Monday-Friday. We have multidisciplinary rounds with the intensivist and care team at 10 am everyday Monday-Friday. My nurses typically carry 2 patients, and we run with a free charge nurse. We titrate cardiac gtts, vasoactive medications and any sedation for patients that are intubated. A lot of patient's will have AAA repairs done and when they come back from these procedures they have to lay flat for a specific amount of hours. We keep a close eye on the patients and effective communication is extremely important between the nurses, physicians and care team.

Ratio / Census: 1:1-2; 10 Beds with average daily census of 7
Unit Systems: Epic, Pyxis, SBAR
Scrub Color: Navy Blue
RTO: MAX 7 days RTO
Blackout Dates: Spring Break (April 4th-12th)
Weekends: Every other weekend unless specified elsewhere
Floating: Yes, within facility/scope of practice as needed
Call Requirements: None

Holidays:
• If one major holiday falls in his/her assignment period, the traveler is expected to work it.
• If two major holidays fall in his/her assignment period, the traveler is expected to work both of the holidays.
• If three major holidays fall in his/her assignment period, the traveler is expected to work two of the holidays.

Major Holidays are listed below:
• Memorial Day
• Independence Day
• Labor Day
• Thanksgiving/Black Friday
• Christmas Eve/Christmas Day
• New Years Eve/New Years Day

Compliance: Full compliance required to start on time; if not compliant in time the push back is 2 weeks due to bi-weekly orientation schedule.

Aya Offer Information: Once candidate has signed and confirmation has been sent, manager has 48 hours to review the profile/confirmation and determine if unit/schedule/expertise fit. Aya Offer only available if clinical pass within RTO guidelines + meets specific facility requirements.

Locals Accepted - Same Rate
Please Note: Number of Non-Billable Orientation (NBO) Hours is determined by contract length (ex 8hrs for 8 week assignment; 19hrs for 19 week assignment)
COVID-19 Vaccine: Not Required
Flu Vaccine: Required - Medical/Religious Exemptions Only

Submittals:
Low Job Requirements & Qualifications
• Previous Charge Experience : Preferred
• Years of Experience : 2
• Patient Ratio Experience : 2
• Charting System Experience : Preferred
• Charting System Name : Epic
• Community Hospital Experience : Preferred
• LTAC Experience : Preferred
• Trauma Level I Experience : Preferred
• Trauma Level II Experience : Preferred
• Travel Experience Required : -
• Certifications : ACLS, BLS

Skills :
• Cardiovascular Intensive Care Unit (CVICU)*
• Medical Intensive Care Unit*
• Surgical Intensive Care Unit*
• Interpretation of dysrhythmias
• Management of dysrhythmias
• Management of patient with multisystem organ dysfunction/failure
• Obtain 12 lead EKG/ECG
• Thermoregulation: hypothermia/hyperthermia
• Coronary Artery Bypass Graft (CABG)
• Central Venous Pressure Monitoring (CVP)
• Intra-Aortic Balloon Pump (IABP)
• Post Cardiac Surgery (Not directly from the OR)
• Pre/Post Cardiac Cath/intervention
• Pulmonary Artery Line/Swan Ganz monitoring
• Sheath Removal
• Transcatheter Aortic Valve Replacement (TAVR)
• Valve Repair/Replacement
• Ventricular Assist Device (LVAD/RVAD)
• IV insulin protocols
• GI surgery
• Chronic/Acute Renal failure
• CVVHD/CRRT
• Accessing/Managing Ports
• Arterial line management
• Blood Product Administration
• Central line care/management
• PICC line management
• Starting and maintaining IVs
• Continuous IV paralytics/Neuromuscular blockade
• Continuous IV sedation
• Emergency Medications
• Procedural Sedation Administration/Monitoring
• Titrate Cardiac drips
• Titrate Vasoactive drips
• CVA/Acute Stroke management
• Hypothermia protocol/Arctic Sun
• ICP monitoring
• Assist with management of BiPAP
• BiPAP/CPAP management/maintenance
• Assist with Chest Tube Insertion/Removal
• Care of Ventilated Patient
• Fresh tracheostomy
• High Flow Nasal Cannula (HFNC)
• Interpretation of Arterial Blood Gases (ABGs)
• Pulmonary edema
• Pulmonary embolism
• Respiratory failure
• Suctioning (ETT, NT)
• Ventilator Management
• Infection Prevention
• Isolation Precautions/PPE
• Phlebotomy
• Surgical Wounds with drains/Wound Vac
• Epicardial Pacing Wire Care and Management

Unit Details Staffing & Scheduling
• Scheduling Type : Other
• Patient Ratios Days : 4
• Patient Ratios Nights : 4
• Patient Ratios Weekends : 4
• Float Required : -
• Call Required : -
• Weekend Coverage : True
• Number of Weekend Shifts Per Contract : 6
• Pre-Approved Time Off : one
• Orientation Hours : 24

Facility & Patient Care Details
• Patient Age Groups : Adults
• Daily Census : 7
• Number of Visits Per Day : 4
• Number of Rooms : -
• Number of Beds : 10

Additional Unit Information
• Interdisciplinary Support : IV Teams, Physical Therapy, Respiratory Services, Radiology, Social Services, Rapid Response Teams, Pharmacy, Transportation
• Patient Diagnoses : Cardiogenic shockcardiac/pericardial tamponadeLow cardiac output syndromeAcue/chronic respiratory failureAortic dissectionAcute on chronic diastolic heart failureAortoiliac occlusive diseaseDecompensated heart failureSTEMI/NSTEMIunstable anginaacute lower limb ischemiaAbdominal aortic aneurysmhyperkalemia

Special Procedures/Unit Details :
CV3 ICU is a cardiovascular intensive care unit. We specialize in taking care of a specific population of patients that include patients with LVADS, balloon pumps, swan catheters, temporary pacemakers, femoral and venous sheaths, arterial lines, TR bands, patients on CRRT. We are a 10 bed CV ICU. We have an intensivist present in the unit Monday-Friday. We have multidisciplinary rounds with the intensivist and care team at 10 am everyday Monday-Friday. My nurses typically carry 2 patients, and we run with a free charge nurse. We titrate cardiac gtts, vasoactive medications and any sedation for patients that are intubated. A lot of patient's will have AAA repairs done and when they come back from these procedures they have to lay flat for a specific amount of hours. We keep a close eye on the patients and effective communication is extremely important between the nurses, physicians and care team.

Special Equipment :
• LVADs
• Balloon pumps
• SWAN catheters
• Temporary pacemakers
• CRRT machine
• Venous/femoral sheaths

Submittal Details:
Compliance Document Deadline is the Tuesday prior to Start.
Please only submit to your candidate's FIRST choice and acknowledge your candidate's openness or flexibility to other Piedmont locations, units and shifts in the submission email.
Perm Staff Rule: MUST be away for 1 FULL YEAR from all Piedmont facilities to return as traveler.
GA or Compact license must be in hand at time of submittal.
References: TWO supervisory references are HIGHLY preferred at time of submission, some units require two on the profile to review. Must be Manager or above - charge not accepted.
RTO: MAX 7 days; RTO required with submission.

HOLIDAY RTO POLICY:
• If one or two major holidays occur during assignment period, travelers are expected to be available to work the holiday(s), - NO HOLIDAY RTO CAN BE REQUESTED.
• If three major holidays occur during assignment period, the travelers are expected to be available to work two of the holidays. ONE HOLIDAY RTO Request can be reviewed for approval.

Major Holidays are listed below:
• Memorial Day
• Independence Day
• Labor Day
• Thanksgiving/Black Friday (Counts as 1 holiday)
• Christmas Eve/Christmas Day (Counts as 1 holiday)
• New Years Eve/New Years Day (Counts as 1 holiday)

Candidates must be available to submit core items and complete/schedule labs within 48 hours of signing the contract to ensure an on-time start.
Will take local candidates; same BR.
Return travelers: If a traveler is deemed unable to return to one facility, please have them complete one successful assignment outside of Piedmont prior to rebooking at a new location.

Modules:
• Modules are non-billable, hours are factored in NBO.
• Modules are completed during orientation, and vary by specialty.
• Modules are recorded via transcripts.