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Unit: Mixed-acuity MedSurg/PCU Requirements At least 1 year of PCU experience; first-time travelers accepted with strong experience BLS, ACLS and NIHSS Telemetry, cardiac rhythm interpretation, CIWA, BiPAP, central line care, tube/drain management and IV skills Chest tube management, trach care and home ventilator experience preferred Epic experience preferred Patient care and floating Patients: Respiratory failure, sepsis, GI bleeds, bariatric post-op, diabetes, CHF, COPD, pneumonia, acute skilled nursing patients and TIA/stroke rule-out Acuity: May care for both PCU and MedSurg patients during the same shift Ratios: PCU 1:4–5; MedSurg/Telemetry 1:5; CNA 1:10 Medications: Cardizem, dopamine, heparin, nitroglycerin, Lasix and Dilaudid for comfort care/PCA.
Frequent titration may prompt ICU transfer or reassignment. Unit support Usually a charge nurse without a fixed assignment SWAT nurse for PICCs and procedure transport Respiratory therapy and hospitalist coverage 24/7 Phlebotomy, daytime educator and daytime PT/OT/speech therapy Equipment: Alaris pumps and Pyxis