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

Job Opportunity: Registered Nurse (RN) - Intermediate Care Unit (IMU)

Location: Wheeling, West Virginia
Unit: Intermediate Care Unit (IMU)
Beds: 30 (14 Private & 16 Semi-private)
Contract Length: 13 weeks

Certifications Required

• BLS (Basic Life Support)
• ACLS (Advanced Cardiovascular Life Support)
• NIHSS (National Institutes of Health Stroke Scale)

Experience Requirements

• Specialty: IMU (Intermediate Care Unit)
• Years of Experience: Not explicitly stated; assume standard RN experience for IMU level care.
• Prior Travel Experience: Not required (no mention of prior travel experience needed).

Shift Details

• 12-hour shifts: 7:00 AM - 7:00 PM and 7:00 PM - 7:00 AM
• Must be ready to start by 6:45 AM/PM
• Self-scheduling allowed with 4 requested days off per month
• Weekend shifts required:

  • Nights: 4 weekend night shifts per 4-week schedule
  • Days: 4 weekend day shifts per 4-week schedule, plus minimum 3 night shifts per 4-week schedule (not necessarily on weekends)
• Holidays: Flexibility required, but holiday shifts are usually covered by permanent staff

Staffing Ratios

• Goal ratio: 1:4
• Typical ratio: 1:5
• Occasional ratio: 1:6
• Nurse Aides: 2-3 CNAs with ratios of 1:10-12

Unit Environment & Responsibilities

• EMR system: Sunrise
• Telemetry monitors: Nihon Kohden
• Nurses must be able to read and interpret cardiac strips (despite Tele Tech support)
• Must be able to titrate drips including:

  • Amiodarone
  • Cardizem
  • Dopamine
  • Dobutamine
  • Labetalol
  • Nitro
  • Heparin
  • Occasionally Lasix
• Respiratory equipment managed by Respiratory Therapists (RT)
• RT available 24/7
• IV team available 24/7 and performs all IV starts
• Pharmacy available 24/7 (Pyxis system)
• Hospitalist in-house 24/7
• Intensivist in ICU 24/7
• Residents in-house 24/7

Floating & Orientation

• Floating required to Telemetry or MedSurg units as needed (ratios up to 1:6 or 1:7 in MedSurg, rarely)
• May be required to float to Pandemic Unit
• Orientation:

  • Day 1: 4 hours HR, 8 hours unit with preceptor
  • Day 2: Unit with preceptor
  • After Day 2: Independent

Common Patient Diagnoses

• Chest pain, rule out MI
• Congestive Heart Failure (CHF)
• Arrhythmias
• Post pacemaker care
• Pre/post cardiac catheterizations (manage radial bands & remove, but do not pull sheaths)
• Groin checks
• Overflow patients requiring intermediate care acuity
• Rarely chest tubes
• Patients on Tikosyn therapy

Dress Code

• Navy blue scrubs (top & bottom)
• Navy scrub jackets
• No hoodies allowed

Additional Notes

• Must provide a copy of an unexpired driver’s license with submission
• Licensing issues must be disclosed at time of submission
• 50-mile radius rule applies for candidate submissions