RN-Cath Lab

Description: This is a Prep/Recovery unit (PACU patients post Cath/Vascular/EP procedures). Candidates MUST have a minumum of 2 years of Critical Care, PACU, or CCU expereince. ? About Facility: o 920 Church St. N. Concord, NC 28025 o Beds: 457 o Level III Trauma Center o Stroke Center of Excellence o Bariatric Center of Excellence o Chest Pain Center o Radius Rule: Traveler s permanent address must be 50 miles outside of home unit ? Unit Information: o Beds: 12 beds combined; see 17-20 patients a day (usually same nurse before and after procedure for continuity of care) o Minimum Years of Experience required? Critical care, PACU, or CCU experience. Minimum 2 years o Will you accept a first-time traveler? Yes ? Patient Types/Common Diagnoses: o R and L Heart Cath, structural hearts, TAVR s, Watchman, Vascular procedures, EP devices and ablations, possible Carotid access procedures o Patients likely receiving moderate sedation so will be more awake and alert than PACU ? Patient Ratios: o RN: 1: 3 (depends on the type of patient. Example: TAVR s lielky only 2) ? Required License, National Certification, Certs (BLS, ACLS, etc.), or other position specific requirements such as Driver's License and/or Insurance: o BLS, ACLS ? Skills required: o neurovascular checks that may include Dopplers, comfortable with gtts (rarely pressors, nitro and heparin most commonly seen), site management (access fem or radial); TR band or groin device compression experience, rarely do they pull sheaths (not required) o Post Anesthesia experience, a little BP management (if pressors started likely short term care until transferred to appropriate floor) o See occasional swan, temp pacing wires, or A line (exp. Preferred but not required) o No vents, Rarely see BiPaps o Will have EKG, glucometer, and iSTAT checkoffs during orientation ? Support within the Department: o CNA? 1 at a time o Receptionist/HUC? No o Charge nurse? Yes, occasionally takes patients but no set assignment (assist with cardioversions) o RT 24/7? Yes, RT available with a call and anesthesia in the department routinely o Hospitalist 24/7? APP s and NP s (6:30am-7pm); MD s constantly on unit o Telemetry monitoring/tech? Patient s have bedside monitor as well as nurses station ? Technology/Equipment: o EMR: EPIC o IV Pump: Alaris o Med dispensing: Omnicell o Monitors: Philips o Unit specific equipment: EKG. iSTAT, Glucometers ? Floating: If yes, where? o Possibility to float to EP and procedural areas (manager will discuss this upon interview) ? Orientation (facility and unit): o NEO o Usually 1-2 shifts of precepted shifts ? Scheduling: o Weekend rotation: None o On call? No o Holiday Expectations: Closed on major holidays o RTO approval? All RTO approved my manager o Shift times: 7am-3pm (M-F 8hr shifts) preferred but variable as most do 10-hour shifts o Schedule cycle: 4-5 weeks at a time ? Other notes: o Scrub Color: Scrubs provided (Green) o Parking: Free, designated parking for teammates o Unit Culture: Great culture and enjoy working with each other. Everyone works very well together and have had great feedback from travelers. Repeat travelers are very common. Must have skills: ACLS, BLS; Minimum of 2 years of Critical Care, PACU, or CCU experience is required.