Facility: o Community based hospital in urban area, High Point, NC o 601 N. Elm Street, High Point, NC 27262 o 351 licensed beds o No Trauma Designation o Teaching Hospital o Chest Pain Center o Stroke Center Unit Information: o Beds: 18 Average Daily Census = 18 o Minimum Years of Experience required? 1 year Cardiac Tele experience or PCU experience o Will you accept a first-time traveler? Yes Patient Types/Common Diagnoses: o General medical patients requiring continuous monitoring of cardiac, respiratory, hemodynamic and neurologic status having a NSTEMI or status post STEMI, cardiac interventional procedure, electrophysiology procedure, thoracic surgery, heart failure, post stroke o General, Vascular, or immediate thoracic surgical patients requiring continuous cardiac, respiratory or hemodynamic support include pharmacological titration of cardiac anti-arrhythmic drips (Amiodarone, Cardizem, Cardene, Dobutamine, Tridil, etc) o Post op day 2 post open heart o Respiratory failure requiring medium or high flow oxygen devices or NIPPV Patient Ratios: o RN: 1:3 or 1:4 depending on interventions.
Required Licensure &
o BLS, ACLS, and NIHSS Skills required: o Cardiac and hemodynamic monitoring, cardiac strip and rhythm interpretation, arterial lines, titration of drips, non-invasive ventilator care (BiPAP/CPAP, we have Respiratory Therapist 24/7), vascular lines, chest tubes or drains, post procedure site care – trans radial bands, femoral venous or arterial sheaths, post EP permanent pacemaker or ICD, post pulmonary artery thrombectomy (Prenumbra, Inari) Support within the Department: o CNA?
Yes o Receptionist/HUC? No o Charge nurse? Yes o Phlebotomy?
Varies o IV/VAT Team? No o Resource Nurse? No (Charge Nurse serves as Resource) o Rapid Response Team?
Yes o RT 24/7? Yes o Hospitalist 24/7? Yes o Telemetry monitoring?
The RN is responsible for continuous cardiac monitoring including interpretation of the rhythm Technology/Equipment: o EMR: EPIC o IV Pump: Baxter o Med dispensing: Omnicell o Monitors: Philips Intellivue; all 18 rooms have an in room monitor o Unit specific equipment: Arterial lines for invasive blood pressure monitoring interfaces with Philips monitors Floating: If yes, where? o Float within the critical care division or Intermediate Care.
Orientation (facility and unit) : o Orientation – 36 hours week 1 includes NTO and Online CBL (Healthstream) o 12-hour departmental specific orientation shift with an RN Preceptor Scheduling: o Weekend rotation: every other o On call? None o Holiday Expectations: Travelers will work 75% of holidays o RTO: Resource Team approval o Shift times: Nights = 1900-0730. o Schedule cycle: Every 6 weeks Other notes: o Scrub Color: Royal Blue o Parking: Free o Unit Culture: Positive Team focused (High Tech, High Touch); We work as ONE team.