Intermediate Care Unit (Stepdown) RN
Wheeling, WV
Access Healthcare
3x12 hrs, Nights

Job Opportunity: Intermediate Care Unit (IMU) Nurse

Location: Wheeling, West Virginia
Contract Length: 13 weeks

Unit Details

• Unit: Intermediate Care Unit (IMU)
• Beds: 30 (14 Private & 16 Semi-private)
• Patient Ratios: Goal 1:4; typically 1:5; occasionally 1:6
• EMR System: Sunrise
• Nurse Aides: 2-3 CNAs with ratios 1:10-12
• Charge Nurse: Takes full patient assignment on day & night shifts
• Clinical Assistant: Works 2 twelve-hour shifts (with patient assignment) and 2 eight-hour shifts in office

Certifications Required

• BLS
• ACLS
• NIHSS

Shift Information

• Shift Length: 12-hour shifts (7:00 AM - 7:00 PM and 7:00 PM - 7:00 AM)
• Weekend Requirement:

  • Nights: 4 weekend night shifts per 4-week schedule
  • Days: 4 weekend day shifts per 4-week schedule, but no one works straight days without also working at least 3 night shifts in 4 weeks
  • Only night shift is considered a straight shift
• Holidays: Flexibility required; holidays usually covered by permanent staff
• Self-Scheduling: Allowed with 4 requested days off per month

Clinical Responsibilities

• Ability to read and interpret cardiac telemetry strips (Tele Techs available but RN must interpret)
• Titrate drips including: Amiodarone, Cardizem, Dopamine, Dobutamine, Labetolol, Nitro, Heparin, occasionally Lasix
• Manage patients with diagnoses such as chest pain, rule out MI, CHF, arrhythmias, post pacemaker, pre/post cardiac catheterizations (manage radial bands & remove but do not pull sheaths), groin checks, Tikosyn therapy
• Rarely manage chest tubes
• Float as needed to Telemetry or MedSurg units (ratios up to 1:6 or 1:7 in MedSurg, rarely) and Pandemic Unit

Support Services

• Respiratory Therapy (RT) in-house 24/7 (RT manages all respiratory equipment including AirVo high flow and Respironics Bipap)
• Hospitalist in-house 24/7
• Intensivist in ICU 24/7
• Residents in-house 24/7
• IV Team in-house 24/7 (IV team performs all IV starts, including PICC/Midline)
• Pharmacy in-house 24/7 with Pyxis system

Orientation

• Day 1: Approximately 4 hours with HR, then 8 hours on unit with preceptor
• Day 2: On unit with preceptor
• After Day 2: Independent

Additional Information

• Must have unexpired driver’s license
• Licensing issues must be disclosed at time of submission
• Scrub color: Navy blue top & bottom, navy scrub jackets, no hoodies
• Telemetry monitors: Nihon Kohden

Experience Requirements

• Specialty: Intermediate Care Unit (IMU)
• Years of Experience: Not explicitly stated; assume standard IMU experience required
• Prior travel experience: Not specified as required

This position requires flexibility, strong clinical skills in telemetry and drip management, and the ability to float to other units as needed.