IMU Stepdown RN
Wheeling, WV
Access Healthcare
3x12 hrs, Rotating

Job Opportunity: Registered Nurse (RN) - Intermediate Care Unit (IMU)

Location: Wheeling, West Virginia
Unit: Intermediate Care Unit (IMU)
Beds: 30 (14 Private & 16 Semi-private)
Contract Length: 13 weeks

Job Details

• Shift: 12-hour shifts (7:00 AM - 7:00 PM and 7:00 PM - 7:00 AM)
• Shift Scheduling: Self-scheduling allowed with 4 requested days off per month
• Weekend Requirement:

  • Nights: 4 weekend night shifts per 4-week schedule
  • Days: 4 weekend day shifts per 4-week schedule, but no true straight day shifts; minimum 3 night shifts per 4-week schedule required for day shift workers
• Holiday Work: Flexible; holidays usually covered by permanent staff
• Floating: Required to float as needed to Telemetry or MedSurg units (ratios up to 1:6 or 1:7 in MedSurg) and Pandemic Unit

Patient Care & Unit Information

• Patient Ratios: Goal 1:4; typically 1:5; occasionally 1:6
• Common Diagnoses: Chest pain, rule out MI, CHF, arrhythmias, post pacemaker, pre/post cardiac catheterization, groin checks, Tikosyn therapy patients
• Telemetry: Nihon Kohden monitors; RNs must read and interpret cardiac strips (Tele Techs available)
• Drip Management: RNs must titrate drips including Amiodarone, Cardizem, Dopamine, Dobutamine, Labetolol, Nitro, Heparin, and occasionally Lasix
• Ventilator Management: Respiratory Therapists manage all respiratory equipment (AirVo high flow, Respironics Bipap)
• IV Therapy: IV team performs all IV starts; PICC/Midline team available
• Support Staff:

  • Charge nurses take full patient assignments on all shifts
  • Clinical Assistants work alongside nurses
  • 2-3 CNAs per shift (ratios 1:10-12)
  • Respiratory Therapists and Pharmacy available 24/7
  • Hospitalist in-house 24/7; Intensivist in ICU 24/7; Residents in-house 24/7

Orientation

• 2-day floor-specific orientation with preceptor support
• First day includes 4 hours HR and 8 hours unit orientation

Required Certifications & Qualifications

• Current RN license for West Virginia
• BLS (Basic Life Support) Certification
• ACLS (Advanced Cardiovascular Life Support) Certification
• NIHSS (National Institutes of Health Stroke Scale) Certification
• Must have an unexpired driver’s license
• Ability to titrate drips and interpret telemetry strips

Experience Requirements

• Specialty: Intermediate Care Unit (IMU)
• Required years of experience: Not explicitly stated; assume minimum experience appropriate for IMU level care (typically 1-2 years preferred)
• Prior travel experience: Not required

Additional Notes

• Dress code: Navy blue scrubs (top, bottom, and jackets), no hoodies
• EMR system: Sunrise
• Must disclose any licensing issues at time of submission

This position offers a 13-week contract opportunity in a busy Intermediate Care Unit with a focus on cardiac and critical care patients. The role requires strong clinical skills in telemetry, drip management, and flexibility with shifts and floating.