RN Neuro Stepdown & EMU
Morgantown, West Virginia
Ruby Memorial Hospital

Registered Nurse (Neuro Stepdown & Epilepsy Monitoring Unit)

Location: Morgantown, West Virginia
Contract Length: 13 weeks

Unit Overview

• Unit: Neuro Stepdown & Epilepsy Monitoring Unit (EMU)
• Beds: 31 total (25 Stepdown, 6 EMU)
• Nurse-to-Patient Ratios:

  • Stepdown: 1:3
  • EMU Floor: 1:5-6
• Patient Types: Higher acuity neuroscience patients including stroke, seizures, craniotomies, EVDs (experience preferred), and post-TPA patients (managed by permanent staff)

Required Certifications & Skills

• BLS and NIHSS certification required at time of submission
• ACLS preferred
• Strong neuro experience with history of caring for stroke patients and implementing NIHSS
• EPIC experience required
• Stepdown qualification mandatory for RNs on this unit

Clinical Responsibilities

• Titration of drips is generally by physician orders; some protocols may allow RN titration with education
• Common drips include: Amiodarone, Cardizem, Nitro, Dopamine, Nipride, Ketamine, Lasix, Bumex, Insulin
• RN does not need ventilator experience; respiratory therapists manage vents and settings
• Telemetry monitoring present; RNs are not required to interpret strips

Staffing & Support

• Charge Nurse available 24/7
• Nurse aides present with ratios approximately 1:8-9 (4 aides per shift)
• Respiratory therapists available 24/7 for ventilator support

Scheduling & Work Requirements

• Shifts: Nights, 3 shifts of 12 hours (7:00 PM – 7:30 AM)
• Weekend: Every other weekend or 2 weekend shifts per schedule
• Holidays: Participation in holiday rotation required
• Floating: Possible float to nearby units (7E, 7W, 7NE, or 10W)
• Orientation: 2 shifts on unit (12-hour day shifts), including weekends and holidays as scheduled
• Dress Code: Royal Blue scrubs

Additional Requirements & Notes

• COVID-19 vaccine required (2 doses Moderna/Pfizer or 1 dose J&J) unless approved exemption for medical or religious reasons
• Driver’s license address must be outside 50 miles from the facility
• Previous permanent candidates must have been gone for 2 years before reapplying
• Previous travelers must have been gone for 2 years after 1 full year on assignment
• Only 2 candidates submitted per opening; submissions held if position is full
• Any license issues must be disclosed at time of submission

Required Qualifications Summary

• Registered Nurse license
• BLS and NIHSS certifications (NIHSS must be current at submission)
• Strong neuro and stroke patient care experience
• EPIC electronic health record experience
• ACLS preferred but not mandatory

Note: Prior travel experience is not explicitly required for this position.