Intermediate Care Unit RN
Wheeling, West Virginia
Wheeling Hospital

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

Location: Wheeling, West Virginia
Contract Length: 13 weeks
Shift: Nights
Hours: 12-hour shifts (7:00 PM – 7:00 AM), 36 hours per week

Unit Details

• Intermediate Care Unit with 30 beds (14 private, 16 semi-private)
• Patient-to-nurse ratio goal: 1:4; typically 1:5, occasionally 1:6
• Telemetry monitors used: Nihon Kohden
• Nurses must be able to read and interpret cardiac strips (Tele Techs available)
• Respiratory equipment managed by Respiratory Therapists (RT) 24/7
• Hospitalist in-house 24/7; Intensivist in ICU 24/7
• IV team available 24/7 for all IV starts, including PICC/Midline
• Pharmacy available 24/7 with Pyxis system
• Staff required to float to Telemetry or MedSurg units as needed (ratios up to 1:6 or 1:7 in MedSurg)

Patient Population / Common Diagnoses

• Chest pain, rule out myocardial infarction (MI)
• Congestive heart failure (CHF)
• Arrhythmias, post pacemaker care
• Pre/post cardiac catheterization care (manage radial bands, groin checks; do not pull sheaths)
• Patients on Tikosyn therapy
• Intermediate acuity overflow patients
• Rarely manage chest tubes

Required Certifications & Skills

• Current BLS and ACLS certifications
• NIH Stroke Scale (NIHSS) certification
• Ability to titrate drips including Amiodarone, Cardizem, Dopamine, Dobutamine, Labetalol, Nitro, Heparin, and occasionally Lasix
• Must have an unexpired driver’s license and be within a 50-mile radius for submission
• Must disclose any licensing issues at time of submission

Work Schedule & Requirements

• Night shift nurses must work 4 weekend night shifts per 4-week schedule
• Weekend shifts include Friday, Saturday, and Sunday
• Nurses working straight day shifts must also work a minimum of 3 night shifts per 4-week schedule (not necessarily on weekends)
• Holiday work may be required but is typically covered by permanent staff
• Self-scheduling allowed with up to 4 requested days off per month, as long as unit needs are met

Orientation

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

Dress Code

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

Required Qualifications

• Registered Nurse (RN) license valid in West Virginia
• Minimum years of specialty experience: Not explicitly stated; assume standard RN experience for IMU or higher if specified elsewhere
• Prior travel experience: Not required

This position offers a challenging intermediate care environment with a focus on cardiac and telemetry patients, requiring strong clinical skills in cardiac monitoring, drip titration, and critical thinking.