PCU/Stepdown Registered Nurse
South Charleston, West Virginia
Thomas Memorial Hospital

Job Opportunity: RN (Registered Nurse) - PCU/Stepdown

Location: South Charleston, West Virginia
Specialty: PCU/Stepdown

Contract Length

• 13 weeks

Unit Details

• Unit: PCU - Stepdown
• Beds: 11 (expanding to 12 following ICU expansion later in 2023)
• Nurse-to-patient ratio: 1:4
• Monitor Tech available 24/7; RNs read telemetry strips
• Floating required to ICU, Stepdown, Med-Surg Telemetry, and Emergency Department as needed
• Weekend requirement: Every other weekend
• Holiday requirement: Rotational

Patient Population / Common Diagnoses

• Post-op vascular patients
• Hemodynamically stable cardiac dysrhythmias
• CVA (stroke)
• Sepsis
• Renal patients
• Stable acute MI
• Unstable angina
• Post Cardiac Cath with PCTA or significant blockage

Required Certifications

• BLS (AHA)
• ACLS
• NIHSS

Required Experience & Skills

• 1-2 years critical care experience (higher value from description)
• Prior travel experience required
• ICU skill set required due to floating
• Experience with:

  • Bipap, Cpap
  • Mechanical ventilation
  • Telemetry
  • Critical drips
  • Post cardiac cath care
• Preferred but not required: CRRT and IABP experience

Preferred Experience

• Arterial line experience
• Post Fem Pop
• Post Endarterectomy
• ECAR
• TVAR

Nursing Responsibilities

• RNs required to titrate drips
• Common titratable/set rate drips include: Insulin, Cardizem, Heparin, Amiodarone, low dose Dopamine
• Nurses assist with general care and unit clerk duties as needed
• Charge Nurse ICU available as resource; Charge Nurse assigned in PCU

Support Staff & Equipment

• One Patient Care Technician (CNA) per 10 patients
• RT equipment includes: Cpap, Bipap, High flow O2, Mechanical ventilation via Tracheostomy, specialty beds, IV pumps

Orientation & Work Schedule

• First day: General hospital orientation
• Full day nursing orientation for RNs
• Computer training: 1/2 day for CNAs, full day for nurses
• Two 12-hour orientation shifts with preceptor
• Abbreviated Initial Skills Checklist due within 90 days
• 12-hour night shifts, rotating weekends and holidays

Dress Code

• RN/LPN: Navy scrubs
• CNAs/Monitor Techs: Dark grey/pewter scrubs
• Scrubs must be solid color, no embroidery or patterns
• Approved fleece zip-ups in grey, black, navy, or royal blue allowed
• Solid undershirts in white, grey, or black matching scrub top
• Closed-toed shoes only; no crocs

Summary

This is a tele travel RN position in a PCU/Stepdown unit requiring critical care skills and prior travel experience. The role involves floating to ICU, Stepdown, Med-Surg Telemetry, and Emergency Department. Candidates must be comfortable managing telemetry patients, titrating drips, and working with advanced respiratory equipment. The position offers a structured orientation and requires flexibility with weekends, holidays, and floating assignments.