Full employer posting
Position Description: 1:6 ratio across all shifts. They do have tech support and SNIs. Any med surge float unit required. 3N Cardiovascular Unit (Cost Center 4617).
Physical unit/department: 3N Cardiovascular Unit - Kalamazoo. Unit type: Med Surg/Tele, Stepdown/PCU (Progressive Care Unit), Telemetry. Discipline: Registered Nurse.
Specialty: Cardiac Tele. Avg. daily census 40; 54 rooms; 54 beds. Patient age groups: adults, geriatrics.
Shifts: 12-hour; days 07:00-19:30, nights 19:00-07:30; rotating shifts no. Schedule
float required (float to like unit); weekend coverage every other. Unit systems: medication system Pyxis; documentation Cerner PowerChart; communication SBAR. Provider support: pharmacy, phlebotomy, physical therapy, radiology, rapid response teams, respiratory services, social services, transportation, unit secretary.
Provider coverage in-house 24/7: intensivist (yes), hospitalist (yes); anesthesiologist not in-house 24/7 (no). Patient diagnoses: chest pain, CHF, STEMI/NSTEMI, stroke. Special procedures/unit details: 3N is a 54-bed cardiac unit and the main cardiac telemetry unit.
The majority of patients are on a cardiac monitor, monitored in a remote telemetry room and also closely monitored on the unit. They take cardiac drips. Patient population: heart failure, heart attack (STEMI and NSTEMI), stroke (needing cardiac monitoring), cardiac arrhythmias, chest pain, etc.
May also take overflow medical patients if needed. Certifications needed: ACLS, BLS, NIHSS. High-ratio cardiac unit with a 1:6 ratio
ACLS required, BLS required, NIHSS required. Work settings required: cardiac telemetry, telemetry. Preferred: MS/Tele, telemetry oncology.
Cardiac monitoring/emergency response required: interpretation of dysrhythmias, management of dysrhythmias, telemetry - on the unit monitoring, use of rapid response/code teams. Preferred: telemetry - remote monitoring. Cardiovascular required: pacemakers (temporary/permanent), post cardiac angiogram, post MI, pre/post cardiac cath, pre/post cardiac surgery.
Preferred: sheath removal, TR band, TAVR. Gastrointestinal preferred: feeding tube care and management. Genitourinary/renal preferred: continuous bladder irrigation (CBI), pre/post hemodialysis management, renal failure.
IV therapy/phlebotomy required: blood product administration, central line care/management, PICC line management. Preferred: peripheral line care/management, phlebotomy, starting and maintaining IVs. Medications required: heparin protocols, manage cardiac drips - no titration, manage vasoactive drips - no titration, titrate cardiac drips, titrate vasoactive drips.
Preferred: PCA, thrombolytic agents. Neurological/psychiatric required: CVA (cerebrovascular accident). Preferred: substance withdrawal.
Respiratory required: nasal cannula. Preferred: BiPAP/CPAP management, high flow nasal cannula (HFNC), interpretation of ABGs, oxygen administration, oxygen tanks, tracheostomy care/management. Professional topics required: isolation precautions/PPE.
Preferred: wound care/wound vac.
1 year required (note: please ensure RN is aware of high ratios); patient ratio experience required 1:6; electronic documentation: Cerner preferred Other: accepts first-time travelers; scrubs color Royal Blue. Unit: 3N Position: registered nurse tele
Nights Call
n/a Weekends: every other weekend Holidays: every other holiday Float: will float to like units and lower acuity #TB_RN
About the role
Position Description: 1:6 ratio across all shifts. They do have tech support and SNIs.