RN - PCU

RN - PCUNew Unit Opening 2/3!• About Facility:o 1 Medical Center Blvd, Winston-Salem, NC 27157o 885 licensed bedso Level 1 Trauma Designationo Teaching Hospital: Yes, Academic Medical Centero Chest Pain Centero Stroke Center• Unit Information:o New unit opening 2/3/2026. Will initially open as high acuity PCU and transition to ICU by end of 2026o Beds: 10-12o Minimum Years of Experience required? 2 years of ICU or PCU experience, CVICU preferred• Starting the end of September 2026/beginning of October 2026, this experience will need to be 2 years of ICU specific experienceo Will you accept a first-time traveler? Yes• Patient Types/Common Diagnoses:o Heavy cardiac - CHF, cardiomyopathy, tamponade, shock, STEMI/NSTEMI, post-cath, dysrhythmias, arrhythmias, post-pacemaker/ablations, external/temporary pacers, post-CABG/open hearts, heart transplants (2-4 per month), post-vascular surgeries (AAA, fem-pops); EVARs and thoracic outlets (experience not required)• Patient Ratios:o Initially, will be 1:3-4. Once transitioned to ICU will be 1:2-3. Even if patients have Impella, could be 1:3 as they are typically stable waiting for transplants• Required License, National Certification, Certs:o BLS, ACLS, NIHSS• Skills required:o General nursing skills, general ICU skills, experience with above patientso Swanz and Impella experience requiredo Wound care and dressing changes a must as will see several post-surgical patients, defibrillation, EKG interpretation, post-arrest, cardioversions, manage and pull sheaths, bipap/cpap/hi-flow, chest tubes, trachs, art lines, all drips (pressors, cardiac, sedation, etc.). Will see vented patients once unit transitions to ICUo Once unit transitions to ICU, travelers will be expected to care for fresh open heartso Highly preferred to have experience with LVAD and post-cardiac transplant patients, but can train hereo No ECMO. IABPS will be accepted once unit transitions to ICU• Support within the Department:o 1 CNAo No unit secretary initially but will have one once transitioned to ICUo Charge nurse - does not take patientso Manager there in the morning, ANM there until midnighto Phlebotomyo PICC Team hereo Resource Nurse - charge RN for 5 Reynolds will help support this unit tooo RT 24/7o Hospitalist 24/7o Intensivist 24/7o Resident physiciano Remote Tele Techs - will call RN directly for issues. Check off strips every few hours. Monitors in every room too• Technology/Equipment:o EMR: EPICo IV Pump: Alariso Med dispensing: Omnicell• Floating: If yes, where?o Could float to other units within scope of practice and below (7 Ardmore, 7 Reynolds, 5 Reynolds, Day Hospital, 5CC West will be likely units to float, but could float to other units)o Will be put in rotation with other travelers• Orientation (facility and unit):o NEOo 2 shifts of orientation on shift hired into• Scheduling:o Weekend rotation: Every other or equivalento On call? If so, what is that schedule? Noo Holiday Expectations: 50% of holidays in a contracto Approval of RTO: to go through managero Shift times: 0630-1900 or 1830-0700o Schedule cycle: Self scheduling. Staff will sign up first, then travelers• Other notes:o Scrub Color: Royal Blue