ID : 51860652 Shift : Night 3x12-Hour (18 : 45 - 07 : 15) Description : ### RTO after booking is NOT allowed and is NOT allowed to be worked out onsite.
Any call offs or additional RTO on unit, could possibly turn into a Cancel and DNR ### NO RTO FOR BOTH CHIRSTMAS & NEW YEAR'S HOLIDAYS REQUIRED SKILLS / CERTS / Years of Experience : 1 year experienceTraveler Experience : Unit WILL NOT Accept 1st Time TravelersLocals Accepted / Rate Difference : YesSkills : Telemetry, IV Starts, Interpretation of dysrhythmias, Management of dysrhythmias, Peripheral Line Care / Management, Non-invasive airway management, Post cardiac Cath Experience and post cardiac / vasular surgical experienceCerts : ACLS, BLS, NIHPREFERRED SKILLS / CERTS / : Charge Nurse Experience, Wound Care / Wound VacCerts : NIHSSJOB : The Intermediate ICU is a very fast paced unit.
The nurse patient ratio is 4 : 1. Avg. Daily Census : 24, 24 Rooms / 24 BedsUnit will accept contracts from 13+ weeks up to March 15, 2025 (hard stop) to get the Unit through the Holidays!SHIFT : *36 hours only.
12 HR Nights RTO : 7 days MAX for Aya Auto Offer NO RTO FOR BOTH CHIRSTMAS & NEW YEAR'S HOLIDAYS Float Requirement : Some floating required to our Cardiac Telemetry unit and Patient Ratios can run up to 1 : 6 in a Med Surg assignment Weekend Requirement : Every other weekend.
PATIENT DIAGNOSES : The Intermediate Intensive Care unit is a twenty four bed unit that provides 24 hour (7 days a week) nursing observation, monitoring, and intervention to patients with medical / surgical, cardiac, renal, bariatric surgery, pulmonary, and trauma related disease processes.
SCOPE OF CARE / SERVICE : A. The patient population on 5A PCTU is predominately adult,(18-65 years) and Geriatric (65 years and over) with diverse backgrounds.
B. Patients appropriate for admission / transfer to this unit must require cardiac telemetry monitoring. Primary focus on this unit is heart failure and postprocedural patients.
C. Priority for admission / referral is given to patients with primary diagnosis / conditions including : 1. Acutely decompensated heart failure2.
New onset heart failure3. Patients pre and / or post cardiac, peripheral or renal interventional procedure (ie : PTCA, Coronary Atherectomy, Roto blader, Angio-jet Coronary Artery Stent, PTA, PFO closure) with or without arterial / venous sheath(s) in place.
4. Patients pre and / or post procedures done in the Electrophysiology lab pacemaker implantation, pacemaker battery change (if not discharged home), electrophysiology studies, implanted cardioverter / defibrillators, and ablations5.
Acute coronary syndrome.6. Active chest pain with nitroglycerin (where future cath can be anticipated).7. Pericardial drains and chest tubes8.
Trans venous Pacemakers only through an Internal Jugular site with an underlying rhythm.9. Telemetry monitoring10. Patients requiring intermediate assessment, monitoring, or intervention for medical and / or surgical conditions11.
Patients on insulin drips (No DKA protocol)12. Titration of certain vasoactive intravenous medications (see medication by location policy)13.
Cardioversions are performed on the unit with the cardiologist and anesthesia in attendance.14. High risk pre-PCI or high risk pre-open heart surgical patients.
15. Stable post STEMI patients16. Arterial and venous sheaths, either transduced or to be pulled.17. Stable Post- op immediately after recovery Transcatheter Aortic Valve Replacement (TAVR)18.
Patients on high flow nasal cannula, continuous Bi-pap, and Opti-flow19. Patients who have received a watchman device.20.
Patients who have received a Mitral Clip D. PCTU works in collaboration with the outpatient heart failure clinic to provide comprehensive evidence-based disease management of adults diagnosed with advanced chronic heart failure.
PCTU provides inpatient care, patient and staff education, outpatient referral, end of life care for the HF patient in conjunction with its relationship to the Heart Failure Program.
SPECIAL PROCEDURES / UNIT DETAILS : The criteria for admission includes, but is not limited to, patients requiring thefollowing : 1.
Frequent VS and respiratory monitoring via Mechanical ventilation2. BiPAP or CPAP3. Continuous or < q 2h nebulizer treatments4.
Vasoactive IV medications as outlined per policy5. Continuous ECG monitoring6. Pediatric patients < 16 years are not admitted to the Intermediate Intensive Care unit.
The care of the patients may include, but is not limited to, the following diagnostic modalities or therapies : 1. Continuous EKG monitoring2.
Non-invasive pressure monitoring3. EEG Monitoring4. Continuous pulse oximetry monitoring5. Stable ventilator management / weaning (with / without tracheostomy)6.
Elective or emergent cardioversion (with Cardiologist and anesthesia present)7. Administration of medications including weaning of intravenous vasoactive drugs8.
Oxygen therapy9. Pre and post care for diagnostic and therapeutic procedures10. Provision of emotional support to patient / family / significant other11.
Education for patient / family / significant other12. Nutritional therapy13. Emergency assistive procedures for patients experiencing cardiac / respiratory arrest within the unit and / or hospital as designated in Code Blue policy14.
Wound care15. Safety management.UNIT SYSTEMS : PYXIS, Epic Product Dimensions, SBARSCHEDULING TYPE : Self-Scheduling based on Unit Needs NO RTO FOR BOTH CHIRSTMAS & NEW YEAR'S HOLIDAYS UNIT ORIENTATION : 36 Hours on UnitSCRUBS : Any Combo of Navy and White INTERNAL NOTES Must pass EKG Testing prior to start for, this specialty Modified 12 : 00 : 00 AM Account Manager : Lindsay Marmon Account Manager Email : COVID-19 Vaccine : Not Required Flu Vaccine : Required - Medical / Religious Exemptions Only Submittal Details : #Tier2 Travel ComplianceCandidate must go into the lab within 48 hours after signing.
All testing must be completed within 48 hours. Submission units are utilizing Clinical for direct profile review Submission Details : Any previous PERM / PRN / EP staff employee of Novant Health or New Hanover must wait 12 months before applying as a traveler.
Please note in the submission packet if your candidate previously worked here, the hospital name and dates of employment.
Facility rehire approval is needed. We cannot proceed with any offer until rehire approval is obtained. Failure to disclose this information will negatively impact your candidate and may result in a cancel.
Novant runs their own check on each traveler upon hiring, so we need to notify them beforehand. Current travel Per Diem clinicians at Novant Health or New Hanover are ineligible for travel assignments.
Working both simultaneously is not accepted. Clinicians must select either travel Per Diem or a Travel Contract. Please indicate in the submission packet if your candidate is currently in a travel Per Diem role at this Health system and if they wish to transition to a Travel Contract.
Candidate's perm address under 50 miles will be offered at a lower local rate. See AM for details. RTO - We can auto approve 7 days of RTO or less as long as it does not fall on a holiday.
Anything more requires facility approval. Candidate MUST WORK 2 out of 3 major holidays. No RTO allowed during the first week of a traveler's assignment due to orientation.
NC or Compact license pending OK for submission. Required in hand at time of start. Candidates may float within hospital or to an affiliate hospital nearby - Please refer to the job description for floating details.
It is common for travelers to float to other units based on their skill sets and based on census. Candidate must be comfortable floating based on the job description with no restrictions or special requests.
Travel Pairs - Allowed but MUST be submitted for and work on different units. Must be called out in the submission if your clinician is part of a travel pair.
Charting Exp Required - Epic is most common. Please review the specific job posting for details. References - Pending references at time of submission OK.
Required at time of start. Two manager / supervisor references from within the past 12 months are HIGHLY preferred at time of submission.
of jobs in system we can sub : Top 3 choices only and acknowledge your candidate's openness or flexibility to other Novant locations, units, and shifts in the submission email.
Fatigue Policy : Travelers cannot work more than 5 days in a row and / or more than 60 hours in a week. are non-billableAcute Care roles : 8-10 hours of modulesNon-Acute roles : 4-5 hours of modulesModules must be completed pre-start and annually, and hours vary by specialtyModules are recorded via online learning, and Zoom, webinar, and in-person classes Guaranteed Hours : Contract Weeks : 91