Preferred Skills/Experience:
Trauma/Orthopedic experience preferred.
Unit Details:
The unit serves patients requiring acute surgical intervention, surgical consultation, or postoperative care.
Cases include trauma surgery, bariatric surgery, vascular surgery, traumatic brain injury, general surgery, urological surgery, orthopedic surgery, neuro/spine surgery, GI bleed/endoscopy, and pulmonary embolus.
Patients with neurological diagnoses include, but are not limited to, CVA, TIA, traumatic brain injury, status post neurosurgery, and altered mental status.
Patient cases include meningitis, new-onset seizures, hypertensive crisis, chest pain, CHF, hemodynamically stable sepsis, and alcohol withdrawal.
The Heart and Vascular Unit includes pre- and post-cardiac catheterization procedural patients and postoperative cardiovascular surgery patients when hemodynamically stable.
Patients include unstable angina, suspected MI (NSTEMI and STEMI), chest pain rule-out patients, and patients with chest pain with acute EKG changes and/or elevated troponin.
Patients may have acute cardiac dysrhythmias requiring IV/PO medication management; mild-to-moderate congestive heart failure with elevated BNP and/or pulmonary edema on chest X-ray without shock; respiratory distress with oxygen saturation of 88% or below on room air requiring a Venti mask, BiPAP, or CPAP; postoperative femoropopliteal bypass, peripheral stents, post-aortograms, or CEA; and pulmonary embolus requiring a heparin drip.
Patients meet PACU discharge criteria.
Patient parameters include HR 50-150, systolic BP greater than 90 mmHg and less than 180 mmHg, respiratory rate less than 30 or greater than 10 breaths/min, and oxygen saturation greater than 90%.
Common IV drips include argatroban; Aggrastat/Integrilin/ReoPro; amiodarone; Cardene; Cardizem; dobutamine and dopamine at renal/heart failure doses; heparin; Lasix; morphine or Ativan for palliative care; nitroglycerin; Primacor; and sodium bicarbonate.
Ninety percent of inpatients come from the ED.
Shift & Scheduling:
No call.
Floating Requirements:
Floats to stepdown service lines, including the Progressive Care Unit and Heart and Vascular Unit.
Details:
• AUTO OFFER - NO INTERVIEW: This is an auto-offer position. You will likely not interview with the facility prior to receiving an offer. However, an interview can be arranged upon request. All time off requests must be submitted at application. Scheduling requests must be worked out with the manager directly upon starting the assignment. Any offers for this job will require a clear "Yes" or "No" response from the nurse within 24hrs or the offer must be declined.
Pre-employment modules may be required for this role. Please upload any certifications or health documents you have to your profile to expedite your on-boarding process.
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