RN Intermediate Care/Stepdown Unit (IMU)
Wheeling, West Virginia
Wheeling Hospital

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

Location: Wheeling, West Virginia
Contract Length: 13 weeks
Shift: Nights
Hours: 12-hour shifts (7:00 PM – 7:00 AM), 36 hours per week

Unit Details

• Intermediate Care Unit with 30 beds (14 private, 16 semi-private)
• Patient-to-nurse ratio goal: 1:4; typically 1:5, occasionally 1:6
• Telemetry monitors used: Nihon Kohden
• Nurses must be able to read and interpret telemetry strips (Tele Techs available)
• Respiratory equipment managed by Respiratory Therapists (RT) 24/7
• Hospitalist and in-house residents available 24/7
• IV team available 24/7; IV team performs all IV starts
• Pharmacy available 24/7 with Pyxis system
• Charge nurses take full patient assignments on all shifts
• Nurse aides (2-3 CNAs) support with ratios of 1:10-12

Patient Population / Common Diagnoses

• Chest pain, rule out MI, congestive heart failure (CHF), arrhythmias
• Post pacemaker care, pre/post cardiac catheterizations (manage radial bands, groin checks)
• Patients on Tikosyn therapy
• Intermediate acuity overflow patients
• Rarely manage chest tubes

Scheduling & Work Requirements

• Must work 4 weekend night shifts per 4-week schedule
• Night shift is the only straight shift; day shift nurses must work minimum 3 night shifts per 4 weeks
• Flexibility required for holiday shifts, though holidays are usually covered by permanent staff
• Self-scheduling allowed with up to 4 requested days off per month
• Floating required as needed to Telemetry or MedSurg units (ratios up to 1:6, rarely 1:7 in MedSurg)

Orientation

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

Required Certifications & Skills

• Current RN license for West Virginia
• BLS (Basic Life Support)
• ACLS (Advanced Cardiovascular Life Support)
• NIHSS (National Institutes of Health Stroke Scale) certification
• Ability to titrate drips including Amiodarone, Cardizem, Dopamine, Dobutamine, Labetalol, Nitro, Heparin, and occasionally Lasix
• Must have an unexpired driver’s license and be within a 50-mile radius for submission

Additional Notes

• EMR system: Sunrise
• Scrub color: Navy blue top and bottom, navy scrub jackets, no hoodies
• Licensing issues must be disclosed at time of submission

Experience

• Minimum years of specialty experience: Not explicitly stated; assume standard RN experience for IMU level care
• Prior travel experience: Not required or specified