Stepdown RN
Morgantown, WV
ADN Healthcare
3x12 hrs, Nights
Referral Bonus

Neuro Stepdown & EMU RN

Overview

• Contract Length: 13 weeks
• Shift: Nights, 12-hour shifts (7p-7:30a), 36 hours per week
• Location: Morgantown, West Virginia

Required Qualifications

• BLS certification
• NIHSS certification
• Stepdown-qualified RN (the unit requires all stepdown-qualified RNs)
• Strong overall neuro experience
• History of caring for stroke patients and implementing NIHSS
• NIHSS in hand at time of submission
• COVID-19 vaccination. Fully vaccinated means two Moderna or Pfizer shots, or one J&J shot. Medical or religious exemptions require the appropriate exemption form, submitted as soon as possible because it must be approved by a council.

Preferred Qualifications

• ACLS certification
• Experience with EVDs

Unit Details

• Unit: 10 EAST (Neuro Stepdown & EMU - Epilepsy Monitoring Unit)
• Beds: 31 total (25 stepdown, 6 EMU)
• Patient Ratios: 1:3 for stepdown (Rockefeller-style inpatient step-down unit); 1:5-6 for the EMU floor
• Nurse Aides: 4 per shift, ratio 1:8-9
• Charge Nurse: Charge nurse 24/7
• Common Patients: Higher-acuity neuroscience patients, EVDs (perm staff would likely be assigned these), TPA (patients within 24 hours post-TPA are managed by perm staff only), strokes, EMU, seizures, craniotomies
• Telemetry: Unit has telemetry
• Respiratory Therapy: RT available 24/7
• Scrub Color: Royal Blue

Clinical Practice

• Drips: Titration is only done under physician orders in stepdown. Some protocols may allow titration, with education provided. Common titratable or set-rate drips include amiodarone, Cardizem, nitro, dopamine, Nipride, ketamine, Lasix, Bumex, and insulin.
• Ventilators: RNs are not required to have vent experience. Floor vents are usually on a set setting, managed by RT and physicians. Changes go back to the ICU.
• Telemetry Strips: RNs do not have to read strips.

Schedule and Assignment

• Shifts: 3 twelve-hour night shifts. Three shifts in a row are allowed but not guaranteed, so travelers need to be flexible.
• Weekends: Every other weekend, or 2 weekend shifts per schedule
• Holidays: Travelers are expected to work into the holiday rotation
• Call/Standby: Unknown
• Possible Float Units: 7E, 7W, 7NE, or 10W
• Orientation: 2 shifts on the unit

Submission Requirements

• Can submit to only one position at a time across the entire system
• Driver's license address must be more than 50 miles from the facility
• Previous permanent candidates must have been gone for 2 years
• Previous travelers who worked there for 1 full year must have been gone for 2 years
• Travel teams must be submitted together in one email
• Maximum of 2 candidates per opening; if the position is at max, the submission is held until a spot opens
• Any license hits must be disclosed at time of submission