PCU Stepdown RN
Uniontown, PA
Access Healthcare
3x12 hrs, Nights

IMCU Tele/Stepdown RN

Location: Uniontown, Pennsylvania Contract Length: 13 weeks Shift: Nights, 12-hour shifts (36 hours per week)

Required Qualifications

• BLS
• ACLS
• NIHSS
• Ability to read and interpret telemetry strips, since RNs serve as the central monitor station for the whole hospital
• Ability to titrate drips: Cardizem, Nitro, Dopamine, Dobutamine, and Heparin
• Submittals must include an unexpired copy of driver's license

Unit and Patient Profile

• Stepdown unit with 28 private beds
• Heavy cardiac patients, including dysrhythmias and CVAs, a mix of general patients, and patients downgraded from the ICU
• Tele monitors in use

Staffing and Schedule

• Nurse-to-patient ratio of 1:4-5 (1:6 if MedSurg acuity)
• Day charge nurse takes no assignments; night charge nurse may have an assignment
• Two nurse aides per shift during day and mid shift; no CNA coverage at night after 11 p.m.
• RN shifts: 7 a.m.-7:30 p.m. or 7 p.m.-7:30 a.m.
• Weekends: every other weekend, with Days working Saturday/Sunday and Nights working Friday/Saturday/Sunday
• Holidays: every other holiday, worked into the permanent staff holiday rotation
• Block scheduling is allowed
• Scrubs must be navy blue; jackets, if worn, must also be navy blue

Support Services

• Hospitalist in house 24/7
• Intensivist in the ICU 7 days/week from 7 a.m.-7 p.m., on call after hours; an NP is sometimes present
• Respiratory therapy in house 24/7
• Pharmacy in house 24/7
• No IV team; ICU charge nurses or the ICU Director can be called for difficult IV starts
• Ventilator support: BiPAP, CPAP, and high flow

Orientation and Floating

• Floor-specific orientation: 2 shifts with a preceptor
• May float to the ICU as extra support