Stepdown RN
Wheeling, West Virginia
Wheeling Hospital

CVSD Registered Nurse (RN)

Location: Wheeling, West Virginia Contract Length: 13 weeks Shift: Days, 12-hour shifts (36 hours/week). Source also lists night-only or rotating day and night shifts.

Required Qualifications

• BLS certification
• ACLS certification
• Experience or must-have skills: epicardial pacing, chest tubes
• Must disclose licensing hits at time of submission
• Submissions must include a copy of the candidate's unexpired driver's license
• 50-mile radius rule

Unit and Staffing

• 22 beds
• Nurse-to-patient ratio: 1:4-6
• Charge nurse takes a full patient assignment
• Nursing supervisor on site 24/7
• Nurse aides on the unit at a 1:15 ratio
• Hospitalist and intensivist both in house
• Respiratory therapy available hospital-wide 24/7

Patient Population and Clinical Duties

• Common diagnoses and patient types: bradycardia, A-fib, SVT, CHF, CAD, NSTEMI, PVD, PE, CVA/TIA, post-op VATS, post-op lobectomy, post-op wedge resection, chest tubes, tracheotomy (no vents), TAVR, and post-op day 1 CABG patients (admitted to ICU post-op, then transferred to CVSD the next day)
• RNs titrate drips per ordered parameters
• Common titratable or set-rate drips: Cardizem, amiodarone, procainamide, dopamine, dobutamine, heparin, and insulin (rarely)
• No vents, no continuous BiPap, CPAP, or Airvo
• Monitor techs are not on the unit. Monitors are Nihon Koden and are located at the nurses' station and in some rooms. RNs are not required to read their own strips; the tech completes all interpretation and documentation.
• IV therapy team performs all IV sticks

Scheduling and Expectations

• Shift timing listed as 6:45–7:15
• Self-scheduling is handled by a unit scheduling committee. Block scheduling is open for discussion.
• If rotating: 2 weeks of days, then 2 weeks of nights, varying with staffing needs
• Weekends: averages every other weekend
• Holidays: travel RNs are added to the holiday rotation with permanent staff
• No call or standby requirement
• Float first
• Scrub color: navy blue; no artificial nails
• Unit orientation: 12-hour shift with a preceptor