Intermediate Care Unit (IMU) RN
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 total (14 private, 16 semi-private)
• Patient Ratios: Goal 1:4; typically 1:5; occasionally 1:6
• EMR System: Sunrise
• Telemetry Monitors: Nihon Kohden
• Common Patient Diagnoses: Chest pain, rule out MI, CHF, arrhythmias, post pacemaker, pre/post cardiac catheterization care, groin checks, intermediate care acuity overflow patients, Tikosyn therapy management
• Respiratory Equipment: Managed by Respiratory Therapists (RT) (AirVo high flow, Respironics BiPAP)
• Hospital Support: Hospitalist in-house 24/7, Intensivist in ICU 24/7, residents in-house 24/7
• IV Team: In-house 24/7, including PICC/Midline team; IV team performs all IV starts
• Respiratory Therapy: RT coverage 24/7
• Pharmacy: In-house 24/7 with Pyxis system

Shift & Scheduling

• Shift Length: 12-hour shifts (7:00 AM – 7:00 PM or 7:00 PM – 7:00 AM)
• Shift Start Time: Must be ready on unit by 6:45 AM/PM
• Shift Type: Night shift (36 hours/week)
• Weekend Requirement:

  • Nights: 4 weekend night shifts per 4-week schedule
  • Days: 4 weekend day shifts per 4-week schedule; no true straight day shifts without night shifts (minimum 3 night shifts per 4 weeks required if working days)
• Holidays: Flexibility required; holiday shifts usually covered by permanent staff
• Self-scheduling allowed with 4 requested days off per month
• Floating: Required to float to Telemetry or MedSurg units as needed (ratios up to 1:6, occasionally 1:7 in MedSurg)

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 practice

Required Certifications & Skills

• Certifications: BLS, ACLS, NIH Stroke Scale (NIHSS)
• Must be able to read and interpret telemetry strips (despite Tele Tech support)
• Must be able to titrate drips including: Amiodarone, Cardizem, Dopamine, Dobutamine, Labetalol, Nitro, Heparin, and occasionally Lasix
• Must manage radial bands and remove them post cardiac catheterization (sheaths are not removed by nurses)

Dress Code

• Scrubs: Navy blue top and bottom, navy scrub jackets; no hoodies

Required Qualifications

• Valid RN license for West Virginia
• Must have an unexpired driver’s license (submission requires copy)
• Disclosure of any licensing issues at time of submission

Additional Notes

• Charge nurses take full patient assignments on both day and night shifts
• Clinical assistants work 2 twelve-hour shifts on the floor and 2 eight-hour shifts in the office
• Nurse aides typically assigned with ratios of 1:10-12

This position is ideal for experienced RNs comfortable with telemetry, intermediate care patients, and titrating drips in a fast-paced environment with 24/7 multidisciplinary support.