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

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

Location: Wheeling, West Virginia
Contract Length: 13 weeks

Unit Overview

• Intermediate Care Unit (IMU) with 30 beds (14 private, 16 semi-private)
• Patient ratios goal: 1:4, typically 1:5, occasionally 1:6
• EMR system: Sunrise
• Telemetry monitors: Nihon Kohden
• Respiratory equipment managed by Respiratory Therapists (RT) 24/7
• Hospitalist and Intensivist coverage 24/7
• IV team available 24/7 (IV team performs all IV starts)
• Pharmacy available 24/7 with Pyxis system
• Respiratory Therapists in-house 24/7

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, but no true straight day shifts; minimum 3 night shifts per 4-week schedule required for day shift workers
• Floating required to Telemetry or MedSurg units as needed (ratios up to 1:6 or 1:7 in MedSurg, rarely)

Patient Population / Common Diagnoses

• Chest pain, rule out MI, congestive heart failure (CHF)
• Arrhythmias, post pacemaker care
• Pre/post cardiac catheterizations (manage radial bands and groin checks; do not pull sheaths)
• Overflow patients requiring intermediate care acuity
• Tikosyn therapy management
• Rarely manage chest tubes

Required Certifications & Skills

• Current RN license
• BLS (Basic Life Support)
• ACLS (Advanced Cardiovascular Life Support)
• NIHSS (National Institutes of Health Stroke Scale) certification
• Ability to read and interpret telemetry strips independently (Tele Techs available but RN must interpret)
• Ability to titrate drips including: Amiodarone, Cardizem, Dopamine, Dobutamine, Labetalol, Nitro, Heparin, and occasionally Lasix
• Must be able to work within a 50-mile radius rule
• Must provide an unexpired driver’s license upon submission

Orientation

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

Additional Information

• Charge nurses take full patient assignments on both day and night shifts
• Clinical assistants work alongside nursing staff with patient assignments and office duties
• Nurse aides (CNA) support with ratios of 1:10-12
• Dress code: Navy blue scrubs (top, bottom, and jackets), no hoodies
• Flexibility required for holiday shifts, though holidays are typically covered by permanent staff

Required Experience

• Specialty experience: Intermediate Care Unit (IMU) nursing
• Years of experience: Not explicitly stated; assume standard RN competency in IMU setting

Note: Prior travel experience is not specified as a requirement.