CVICU Registered Nurse
Parkersburg, WV
Access Healthcare
3x12 hrs, Nights

Registered Nurse (CVICU) - West Virginia

Location

• Parkersburg, West Virginia

Unit Details

• CVICU with 18 beds, mixed acuity including Step Down and ICU status patients
• Nurse-to-patient ratios:

  • 1:1 for fresh hearts & devices
  • 1:2 for ICU status patients
  • 1:3 for step down patients
• Common patient diagnoses:

  • Atrial fibrillation, Heart blocks, Bradycardia
  • NSTEMI, STEMI, Cardiac Arrest
  • Hyper/Hypotension, Pulmonary Embolisms, Cardiogenic Shock
  • Heart Surgery (CABG/Valves), Heart Failure
  • Thoracic Surgery (VATS, Lobectomy, etc)

Shift & Scheduling

• Night shift, 12-hour shifts
• Approximately 36 hours per week
• Every other weekend required
• Holidays as needed to meet unit needs
• Self-scheduling and block scheduling requests allowed but may be adjusted during schedule balancing
• No call or standby requirement

Orientation

• 1 week orientation including modules, Epic training, and unit RN preceptorship

Required Certifications

• BLS (AHA)
• ACLS (AHA)

Experience & Skills Required

• Prefer experience with fresh open heart cases, but must have experience with patients >6 hours post-op open heart
• Must have experience with:

  • Continuous Renal Replacement Therapy (CRRT)
  • Temporary pacemakers and post permanent pacemaker care
  • Acute MI pre/post catheterization care
  • Mediastinal and chest tubes
  • Ventilator management
  • Hypothermia protocol
  • Arterial line management
  • Titration of drips (see below)
• Preferred experience with:

  • Intra-Aortic Balloon Pump (IABP) and Impella devices
  • Hemodynamic monitoring including Swan-Ganz catheters

Drip Management

• RNs are required to titrate drips
• Common drips include:

  • Cardizem, Cordarone, Cardene, Nitroglycerin, Esmolol, Cleviprex
  • Milrinone, Dopamine, Dobutamine
  • Lasix, Bumex
  • Epinephrine, Levophed, Vasopressin
  • Insulin, Heparin, Aggrastat
  • Precedex, Propofol, Versed, Fentanyl

Unit Support & Resources

• 1-2 Patient Care Technicians (PCTs) per shift
• Hospitalist or Intensivist present in-house
• Respiratory Therapists available 24/7
• Respiratory equipment includes ventilators, trach vents, BiPAP, CPAP, high flow, and Trilogy devices
• Telemetry monitors (Philips) watched by monitor techs off-unit; RNs address alarms and read their own strips every 4 hours

Floating & Additional Duties

• Travelers float first, mainly to ACU and ICU
• May float to Med-Surg and Telemetry units with a maximum patient load of 6
• Rare potential to work charge nurse on night shift; night shift charge nurses take assignments

Dress Code

• Royal blue scrubs

Contract Length

• 13 weeks

Required Licensure

• Current, unexpired RN license for the state of West Virginia

Additional Requirements

• Must submit a copy of an unexpired driver’s license
• Must comply with a 50-mile radius rule for candidate submissions

Note: Prior travel experience is not explicitly required for this position.