Intermediate Care Unit RN
Wheeling, WV
IDR Healthcare
3x12 hrs, Days, Nights, Rotating
Referral Bonus

Job Overview

Seeking an experienced Stepdown/Intermediate Care RN for a 30-bed IMU within an acute care hospital setting.

This is a higher-acuity progressive care unit requiring strong cardiac rhythm interpretation and titratable drip experience. Candidates must be comfortable working both day and night rotations.

Unit Details

• 30 beds (14 private, 16 semi-private)
• Nurse-to-patient ratio goal: 1:4
  • Typically 1:5
  • Occasionally 1:6
• EMR: Allscripts
• Telemetry: Nihon Kohden monitors
  • Monitor techs present, but RNs must read and interpret their own strips
• RT, Pharmacy, IV Team, and Hospitalist available 24/7

Responsibilities

• Manage chest pain, r/o MI, CHF, arrhythmias, and post-pacer patients
• Care for pre/post cardiac cath patients (radial band management; no sheath pulling)
• Perform groin checks and manage intermediate acuity overflow
• Manage Tikosyn therapy patients
• Titrate cardiac drips including:
  • Amiodarone
  • Cardizem
  • Dopamine
  • Dobutamine
  • Labetalol
  • Nitro
  • Heparin
  • Occasional Lasix
• Float to Telemetry or MedSurg as needed (ratios up to 1:6–1:7 in MedSurg, not common)
• Maintain strict attendance standards

Requirements

• Active RN license
• BLS (AHA)
• ACLS
• NIHSS
• Strong Stepdown/PCU experience
• Must independently interpret telemetry rhythms
• Must be comfortable titrating multiple cardiac drips
• Must reside 50+ miles from facility
• Copy of unexpired driver’s license required at submission
• Licensing hits must be disclosed at submission
• No artificial nails permitted

Schedule & Expectations

• 12-hour rotating shifts (Days/Nights)
• 7:00 AM – 7:00 PM / 7:00 PM – 7:00 AM
• Must be ready on unit by 6:45
• Weekend requirement:
  • 4 weekend shifts per 4-week schedule
  • Fri/Sat/Sun considered weekend
  • Day shift nurses must also work a minimum of 3 night shifts per 4-week schedule
• Holiday flexibility required
• 36 hours guaranteed weekly

Additional Details

• Charge nurses take a full assignment on both day and night shifts
• CNA support typically 2–3 aides (1:10–12 ratio)
• IV Team handles all IV starts
• Navy blue scrubs required (no hoodies)
• Strict attendance policy — 2 occurrences (tardy/call-off) may result in termination
• Cancellation: 2 shifts per 13-week contract