Stepdown RN
Wheeling, West Virginia
Wheeling Hospital

CVSD RN (Registered Nurse)

Location: Wheeling, West Virginia Contract Length: 13 weeks Unit Size: 22 beds Shift: Day/Night Rotate, 12-hour shifts (36 hours per week)

Required Qualifications

• BLS and ACLS certifications
• Must have epicardial pacing and chest tube experience

Patient Population

• Bradycardia, A-fib, SVT, CHF, CAD, NSTEMI, PVD, PE, CVA/TIA
• Post-operative VATS, lobectomy, and wedge resection
• Chest tubes and tracheotomy (no vents)
• TAVR
• Post-op day 1 CABG patients, admitted to ICU post-op and then transferred to the unit the next day

Clinical Responsibilities

• RNs titrate drips per ordered parameters.
• Common drips: Cardizem, amiodarone, procainamide, dopamine, dobutamine, heparin, and insulin (rarely)
• The charge nurse takes a full patient assignment.
• A nursing supervisor is available 24/7.
• Nurse aides are on the unit at a 1:15 ratio.
• Nurse-to-patient ratio: 1:4 to 1:6
• Hospitalist and intensivist are both in house.
• RT is available hospital-wide 24/7.
• The unit does not have vents, continuous BiPap, CPAP, or Airvo.
• Monitor techs are not on the unit. Monitors are at the nurses' station and in some rooms (Nihon Koden). RNs are not required to read their own strips, as interpretation and documentation are completed by the tech.
• IV therapy team performs all IV sticks.

Schedule and Assignment

• Night shift only, or rotating day and night (2 weeks of days, then 2 weeks of nights, varying with staffing needs)
• Shift time: 6:45 to 7:15
• Self-scheduling is done through a unit scheduling committee. Block scheduling is open for discussion.
• Weekends average every other weekend.
• Travel RNs are added to the holiday rotation with permanent staff.
• No call or standby requirement
• Float first

Orientation and Dress Code

• Unit orientation: 12-hour shift with a preceptor
• Scrub color: navy blue, no artificial nails

Application Requirements

• 50-mile radius rule applies.
• All submissions must include a copy of the candidate's unexpired driver's license.
• Licensing hits must be disclosed at the time of submission.