** 1year experience needed **
What is needed is a strong cardiac ICU exp which usually is CCU or CVICU. This exp is needed because of the cardiac devices and cardiac dx that our patients often have. For example: LVAD, Impella, IABP, TVP are advanced cardiac devices that only CVICU or a strong CCU/ Cardiopulmonary ICU are trained to take. Cardiac/ medical intensive care patients as well as some step down overflow. Impella/ IABP/ vent/ CRRT/invasive lines/Hemodynamic monitoring.

Required: ACLS / BLS / NIH / Interpretation of dysrhythmias / Management of dysrhythmias / Post Cardiac Surgery (Not directly from the OR) / Pre/Post Cardiac Cath/intervention / Sheath Removal
Patient Ratio exp: 2:1
Shift: 3 x 12 hr

Job Requirements & Qualifications
• Previous Charge Experience: -
• Years of Experience: 1
• Patient Ratio Experience: 2
• Charting System Experience: Preferred
• Charting System Name: Epic
• Community Hospital Experience: -
• LTAC Experience: -
• Trauma Level I Experience: -
• Trauma Level II Experience: -
• Travel Experience Required: -
• Certifications: ACLS, BLS, NIHSS

Skills:
• Management of patient with multisystem organ dysfunction/failure*
• ECMO*
• Intra-Aortic Balloon Pump (IABP)*
• Pulmonary Artery Line/Swan Ganz monitoring*
• Transcatheter Aortic Valve Replacement (TAVR)*
• ICP monitoring*
• Interpretation of dysrhythmias
• Management of dysrhythmias
• Post Cardiac Surgery (Not directly from the OR)
• Pre/Post Cardiac Cath/intervention / Sheath Removal
• IV insulin protocols
• Accessing/Managing Ports
• Arterial line management
• Blood Product Administration
• Central line care/management
• PICC line management
• Starting and maintaining IVs
• Continuous IV sedation
• Procedural Sedation Administration/Monitoring
• Titrate Cardiac drips
• Titrate Vasoactive drips
• CVA/Acute Stroke management
• Care of Ventilated Patient
• Interpretation of Arterial Blood Gases (ABGs)
• Suctioning (ETT, NT)
• Ventilator Management
• Infection Prevention
• Isolation Precautions/PPE
• Phlebotomy
• Surgical Wounds with drains/Wound Vac

Unit Details Staffing & Scheduling
• Scheduling Type: self
• Patient Ratios Days: 2
• Patient Ratios Nights: 2
• Patient Ratios Weekends: 2
• Float Required: ICUS and Card Telemetry
• Call Required: stand by no call pay
• Weekend Coverage: True
• Number of Weekend Shifts Per Contract: -
• Pre-Approved Time Off: one
• Orientation Hours: 72

Facility & Patient Care Details
• Patient Age Groups: Adults
• Daily Census: 16
• Number of Visits Per Day: 4
• Number of Rooms: 19
• Number of Beds: 19

Additional Unit Information
• Interdisciplinary Support: IV Teams, Physical Therapy, Respiratory Services, Interpretation Services, Phlebotomy, Radiology, Social Services, Rapid Response Teams, Pharmacy, Transportation, Unit Secretary
• Patient Diagnoses: Cardiac/ medical intensive care patients as well as some step down overflow. Impella/ IABP/ vent/ CRRT/invasive lines/Hemodynamic monitoring
• Special Procedures/Unit Details: -
• Special Equipment: -

Will consider nurses with 1+ years of recent experience in unit. Orientation is every Monday. Pre Assignment testing (all RN s) and modules required for all travelers to complete within 48 hours of receiving the login information (which usually comes within 24 hours of the nurse signing their contract). Travelers are eligible for reimbursement for hours spent completing modules (up to 16 hours) and time will be verified upon start of contract. EMR experience: 1-year minimum experience with EPIC EMR required.

Floating: Prisma Health s goal is to keep staff in their home unit. However, it is a requirement for all assignments that agency staff, regardless of unit or facility, must float to other Prisma Health units and/or campuses per request due to census concerns. Staff will only be floating to units they are qualified for and performing tasks for which competencies have already been demonstrated and documented.

Modules:
• Modules are billable, up to 16 hours
• Modules are completed pre-start and not included in NBO, and completed annually
• Modules are recorded in transcripts by Prisma Health, time is not entered into timecards