IMU Registered Nurse
Wheeling, West Virginia
Wheeling Hospital

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

Location: Wheeling, West Virginia
Contract Length: 13 weeks

Unit Details

• Unit: Intermediate Care Unit (IMU)
• Beds: 30 (14 Private & 16 Semi-private)
• Patient Ratios: Goal 1:4; typically 1:5; occasionally 1:6
• Electronic Medical Record (EMR): Sunrise

Shift Information

• Shift Length: 12-hour shifts (7:00 AM - 7:00 PM and 7:00 PM - 7:00 AM)
• Self-scheduling allowed with 4 requested days off per month
• Weekend Requirement:

  • Night shift nurses work 4 weekend nights per 4-week schedule
  • Day shift nurses work 4 weekend days per 4-week schedule but must also work a minimum of 3 night shifts per 4-week schedule (not necessarily on weekends)
  • Only night shift is considered a straight shift
• Holiday work: Flexible; usually covered by permanent staff

Patient Care & Responsibilities

• Common Diagnoses: Chest pain, rule out MI, CHF, arrhythmias, post pacemaker, pre/post cardiac catheterizations, groin checks, overflow intermediate care patients, Tikosyn therapy management
• Procedures: Manage radial bands, remove but do not pull sheaths
• Telemetry: Nurses must read and interpret cardiac strips (Tele Techs available)
• Drip Management: Must titrate Amiodarone, Cardizem, Dopamine, Dobutamine, Labetalol, Nitro, Heparin, occasionally Lasix
• Ventilator Management: Respiratory Therapists manage all respiratory equipment (AirVo high flow, Respironics BiPAP)
• Floating: Required to float to Telemetry or MedSurg units as needed (ratios up to 1:6 or 1:7 in MedSurg) and to Pandemic Unit

Support Staff & Resources

• Charge Nurses: Take full patient assignments on day and night shifts
• Clinical Assistants: Work 2 twelve-hour shifts on the floor with patient assignments and 2 eight-hour shifts in the office
• Nurse Aides: Typically 2-3 CNAs with ratios of 1:10-12
• IV Team: In-house 24/7, including PICC/Midline team; IV team performs all IV starts
• Respiratory Therapy: In-house 24/7
• Pharmacy: In-house 24/7 with Pyxis system
• Hospitalists: In-house 24/7
• Intensivists: In ICU 24/7
• Residents: In-house 24/7

Orientation

• Day 1: Approximately 4 hours with HR, then 8 hours on unit with preceptor
• Day 2: On unit with preceptor
• After Day 2: Independent

Required Certifications & Qualifications

• Current RN license for West Virginia
• BLS (Basic Life Support)
• ACLS (Advanced Cardiovascular Life Support)
• NIHSS (National Institutes of Health Stroke Scale) certification
• Must be able to read and interpret cardiac telemetry strips
• Must be able to titrate specified drips
• Must have a valid, unexpired driver’s license (50-mile radius rule applies)

Additional Notes

• Scrub Color: Navy blue top and bottom, navy scrub jackets, no hoodies
• Licensing issues must be disclosed at time of submission
• Prior travel experience is not specified as required for this position

This position offers a challenging intermediate care environment with a variety of cardiac and medical patients, requiring strong clinical skills and flexibility with shifts and floating.