Cardiac Stepdown (RN)

IMC/Cardiac/Tele/Dialysis - Common diagnosis / Types of patients: Cardiac medical and surgical (post cath lab: stent, pacemaker, ICD, watchman, mitral clip, tavr; post cardiac surgery: cabg, valve replacements, Afib, chest pain, CHF, arrhythmias, syncope, bradycardia-temporary pacemaker - -Experience or 'Must have'

Experience with post procedural cath lab patients. management of TR band compression devices, management of chest pain, experience with post cardiac surgical patients

• Are RN's required to titrate drips: Yes; however there are no vasopressors
• Common titratable &/or set rate drips: Nitroglycerin, Heparin, Diltiazem, Amiodarone, Lasix, Bumex, Dobutamine
• Are there Tele/Monitor Techs on this unit? Are RN's required to read their own strips? What brand are the tele monitors?: There is a 24/7 central telemetry unit that monitors all non-critical care patients and does the strips.
• Charge Nurse/House Supervisor? Does the charge nurse take an assignment?: Charge RN takes a modified assignment
• Are there Nurse Aides on this unit/Ratios: Yes; 1; 10 on days, 1:10-12 on pm's, 1:15 after 2300 (possibly more on nights if we do an all RN model).
• RT/Equipment: RT is 24/7 and will do nebulizers and inhalers with patients. RNs are responsible for Incentive spirometry. RT will assist with cpap, bipap, vapotherm (high flow).