Cardiac and Vascular Care PCU RN
Spokane, WA
Thrive Staffing
3x12 hrs, Nights

About the Position

We are seeking a dedicated and skilled Registered Nurse for our Cardiac and Vascular Care unit. This position requires two years of strong cardiac or progressive care experience. First-time travelers are welcome to apply.

Patient Types and Common Diagnoses

• Myocardial Infarction (MI)
• Post-operative open-heart surgery (including TAVR and fem-pop bypass)
• Pre- and post-operative open-heart patients (24-48 hours post-op)
• Cardiac arrhythmias
• Tikosyn therapy
• Pacemakers and Implantable Cardioverter Defibrillators (ICDs)
• Patients requiring higher care but not ICU criteria (PCU-level patients)
• Post-cardiac catheterization patients (femoral and radial approaches)
• Carotid and thoracotomy patients transitioning from ICU
• Microvascular flap procedures
• Amputations related to vascular complications
• Chest pain evaluation and arrhythmia management

Patient Ratios

Typical nurse-to-patient ratios are 1:3-4.

Licensure and Certifications Required

• Basic Life Support (BLS)
• Advanced Cardiovascular Life Support (ACLS)
• National Institutes of Health Stroke Scale (NIHSS)

Skills Required

• Ability to care for cardiovascular patients
• Ability to identify and interpret cardiac rhythms
• Experience with epidurals and chest tubes
• Management of cardiac drips such as nitroglycerin, heparin, amiodarone, Cardizem, dopamine, and dobutamine

Behavioral and Personality Fit

The ideal candidate will embody a respectful, calm, and kind demeanor, value teamwork, and demonstrate effective communication skills.

Support within the Department

• 2-4 Certified Nursing Assistants (CNAs) per shift
• Free floating charge nurse available
• Flex nurse during day shifts to assist with admissions and discharges
• Hospitalists available 24/7
• Respiratory Therapy (RT) available 24/7
• Cardiologist on-call 24/7
• 2 telemetry technicians per shift

Technology and Equipment

• Electronic Medical Record (EMR): EPIC
• IV Pumps: Alaris
• Medication Dispensing System: Pyxis
• Philips monitors (portable and bedside)

Orientation

Orientation includes a New Employee Orientation (NEO) and two 12-hour shifts of unit-specific training.

Scheduling

• Weekend rotation: Every other weekend
• Two of three major holidays are expected to be worked
• Requests for time off (RTO) will be managed by the nurse manager
• Shift times: 0700-1930, 1900-0730
• Scheduling follows a six-week cycle, with preferences taken into consideration, though not guaranteed

Additional Notes

• Scrub Color: Any solid color, professional; no graphics, logos, or designs allowed.
• Parking: Free parking options are available in surrounding lots, with paid parking in the garage.