Cardiac PCU Registered Nurse
Silverdale, Washington
St Michael Medical Center

Job Opportunity: Registered Nurse (RN) – Cardiac PCU (5th Floor)

Location: Silverdale, Washington
Contract Length: 13 weeks

Unit Overview

• Unit: Cardiac Progressive Care Unit (PCU), 5th Floor
• Number of Beds: 24
• Nurse-to-Patient Ratio: 1:3-4 (PCU acuity level), typically 1:4
• CNAs Ratio: 1:8 (may be pulled for 1:1 sitters), 1:12 at night
• Hospitalist available (not intensivist)
• Respiratory Therapist (RT) dedicated 24/7 to unit
• Telemetry: Offsite central monitoring; nurses interpret their own strips
• Equipment: Full respiratory equipment including CPAP, BiPAP, ventilators

Required Qualifications

• License: Registered Nurse (RN)
• Experience: Minimum 2 years of experience in Progressive Care Unit (PCU)
• Certifications:

  • BLS (Basic Life Support) – Required
  • ACLS (Advanced Cardiovascular Life Support) – Required
  • NIHSS, CRRN, PCCN – Preferred but not required
• Skills:

  • Cardiac experience is a must
  • Ability to titrate drips including nitroglycerin, heparin, cardizem, nicardipine, amiodarone, insulin, dopamine, esmolol, labetalol, milrinone, argatroban
  • Charge nurse responsibilities expected
  • Must be able to float within skill set (may float to 4th floor with PCU patient load)
• Prior Travel Experience: Not specified as required

Work Schedule & Requirements

• Shifts: 07:00-19:30 and 19:00-07:30
• Assignment Duration: 6 weeks at a time (part of the 13-week contract)
• Weekend Requirement: Every other weekend minimum; high needs on Saturday, Sunday, and Monday
• Holiday Requirement: At least 1 major holiday during the holiday season
• Call/Standby: None

Orientation & Additional Information

• Orientation includes:

  • Epic training (can test out if experienced within last year; Epic experience preferred)
  • 8-hour Epic class plus 8-hour onboarding and education day, unit tours, and 1 shift with preceptor
• Dress Code: Any professional color scrubs
• Teamwork: Candidate should have a flexible, team player mentality

Common Patient Diagnoses & Procedures

• TAVR (Transcatheter Aortic Valve Replacement)
• Post cardiac catheterization with TR bands and femoral stops
• Temporary/transvenous pacemakers
• VATS (Video-Assisted Thoracoscopic Surgery)
• Lobectomies
• Post-operative days 2-5 CABG (Coronary Artery Bypass Graft)
• Thoracic procedures including femoral-popliteal bypass

This position is ideal for experienced cardiac PCU RNs looking for a short-term contract in a specialized cardiac progressive care setting.