PCU Registered Nurse
Lees Summit, MO
Access Healthcare
3x12 hrs, Nights

PCU Registered Nurse (MS/Telemetry)

Overview

• Contract length: 13 weeks
• Employment type: Travel/Contract
• Location: Lees Summit, Missouri
• Unit: PCU (Progressive Care Unit), 30 rooms, daily census of 30
• Ratio: 1:5
• Charting system: Epic
• Special requirements: Intermediate level of care, including stroke, heart failure, SI, ETOH withdrawal, respiratory failure, pneumonia, GI bleed, syncope, TIA, falls, COVID, flu, C. diff, CBI, post-surgical patients needing higher-level monitoring, renal failure, cardiac drips, and heparin.

Schedule and Hours

• Shift: Nights, 3 x 12 hours, 18:45 to 07:15
• Hours: 12 per day, 36 per week
• Guaranteed hours: 3 shifts per 13 weeks. Cancelled shifts must be the regular shift length.
• Weekends: 8 weekend shifts in the 6-week schedule period, a combination of Friday, Saturday, and Sunday
• Holidays and charge: Holiday shifts and Charge RN assignments as needed per unit
• Floating: Regular floating may be required between departments, units, and facilities as needed, within scope
• Return-to-off (RTO) restriction: No more than 7 days

Required Qualifications

• Valid RN license in Missouri
• 1 year of PCU (Progressive Care Unit) experience, completed within the last year
• BLS certification issued by the American Heart Association (AHA only; certificates of completion accepted for up to 1 month until the card is issued)
• NIH Stroke Certification (NIHSS) (AHA, Apex, or NIHSS websites only; must be updated annually unless the certificate lists a 2-year expiration)
• Associate of Science in Nursing (ASN) / Associate Degree in Nursing (ADN)
• Experience working with surgical patients
• Experience working with suicidal patients
• Experience working with cardiac patients
• Experience with cardiac drips
• Heparin protocols management
• Interpretation of dysrhythmias
• Management of dysrhythmias
• Use of rapid response teams
• Feeding tube care and management
• Pre/post hemodialysis management

Skills Required

• Telemetry and cardiac: Cardiac telemetry, dysrhythmia interpretation and management, on-unit telemetry monitoring, rapid response teams, heparin protocols, cardiac drips (no titration)
• Respiratory: High-flow nasal cannula (HFNC), ABG interpretation, nasal cannula, oxygen face masks, non-invasive airway management
• Vascular access and IV: Blood product administration, central line care and management, peripheral line care and management, PICC line management, starting IVs
• Renal and GI: Pre/post hemodialysis management, renal failure, feeding tube care and management
• Neuro, surgical, and wound: CVA, pre/post neurosurgery, surgical drains, wound care/wound vac, isolation precautions

Skills Preferred

• Vascular access: Accessing ports
• Medications: Vasoactive drips (no titration), PCA
• Neuro and orthopedic: Traumatic brain injury, ortho trauma, total joint replacements
• Respiratory: Chest tubes (Emerson/Pleur-evac), external CPAP/BiPAP, tracheostomy management
• Work settings: ER holding, neuro stepdown, PCU/DOU/IMC/stepdown

Work Restrictions

• On-call: Not required
• Block schedule: Not accommodated
• Local candidates: Not accepted; home address must be at least 75 miles from the facility
• Pending licenses: Not accepted
• First-time travelers: Accepted

Onboarding and Compliance

• Health: Physical exam within 1 year of start (not required annually); TB screening (2 negative PPDs, or a T-Spot or Q-Gold within 1 year of start); Tdap or declination; measles, mumps, rubella, and varicella titers, vaccines, or declination; hepatitis B declination; drug screen within 1 year of start that cannot expire during assignment and is updated annually; flu vaccine or exemption required during flu season (10/01 to 03/31)
• Fit testing: N95 fit test required (any N95 model acceptable; can be completed onsite)
• Training: Facility orientation modules (about 16 hours) for all RNs; regulatory compliance quiz (80% to pass); facility modules covering Epic (test out or module), glucose meter, and infusion pump, completed by the Sunday before start if assigned
• Policies: HIPAA acknowledgement, confidentiality form, latex allergy questionnaire, hand hygiene policy, fingernail policy, and dress code policy, all reviewed and signed before start
• Other: Badge photo taken within 6 months of start; SSN and DOB confirmation