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

Registered Nurse (RN) – Intermediate Care Unit (IMU)

Location: Wheeling, West Virginia
Contract Length: 13 weeks

Unit Overview

• Intermediate Care Unit with 30 beds (14 private, 16 semi-private)
• Patient types include chest pain, rule out MI, CHF, arrhythmias, post pacer, pre/post cardiac caths (manage radial bands & remove but do not pull sheaths), groin checks, overflow intermediate care acuity patients, and Tikosyn therapy patients
• Rarely manage chest tubes

Shift Details

• 12-hour shifts: 7:00 AM – 7:00 PM (Days)
• Must be on unit and ready by 6:45 AM/PM
• Self-scheduling allowed with 4 requested days off per month
• Weekend shifts include Friday, Saturday, and Sunday
• Day shift nurses must work at least 3 night shifts per 4-week schedule (nights are the only straight shifts)
• Night shift nurses work 4 weekend night shifts per 4-week schedule
• Flexibility required for holiday shifts, though holidays are usually covered by permanent staff

Staffing & Ratios

• Goal nurse-to-patient ratio: 1:4; typically 1:5, occasionally 1:6
• Charge nurses take full patient assignments on both day and night shifts
• Clinical assistants work 2 twelve-hour shifts on the floor and 2 eight-hour shifts in the office
• 2-3 CNAs per shift with ratios of 1:10-12
• Floating required into Telemetry or MedSurg units as needed (ratios up to 1:6, possibly 1:7 in MedSurg)

Certifications & Skills Required

• BLS, ACLS, NIH Stroke Scale (NIHSS) certifications required
• Must be able to read and interpret telemetry strips (Tele Techs available but RN responsibility)
• Ability to titrate drips including Amiodarone, Cardizem, Dopamine, Dobutamine, Labetolol, Nitro, Heparin, and occasionally Lasix
• Must be able to manage care in an intermediate acuity setting

Equipment & Support

• Telemetry monitors: Nihon Kohden
• Respiratory equipment managed by Respiratory Therapists (RT) 24/7 (AirVo high flow, Respironics BiPAP)
• Hospitalist in-house 24/7; Intensivist in ICU 24/7; Residents in-house 24/7
• IV team available 24/7 for all IV starts, including PICC/Midline team
• Pharmacy available 24/7 with Pyxis system

Orientation

• First day: 4 hours with HR, then 8 hours on unit with preceptor
• Second day: On unit with preceptor
• After orientation, nurse works independently

Dress Code

• Navy blue scrubs (top, bottom, and scrub jackets)
• No hoodies allowed

Required Qualifications

• Current RN license for West Virginia
• BLS, ACLS, NIHSS certifications
• Valid, unexpired driver’s license (must be submitted with application)
• Disclosure of any licensing issues at time of submission

Additional Notes

• Must comply with a 50-mile radius rule for candidate submissions
• Prior travel experience is not explicitly required for this position