Registered Nurse - PCU

Unit IMU - Intermediate Care Unit (Cost Center 6010) *CURRENTLY 1 : 6 RATIO* # beds 30-Beds (14 Private & 16 Semi-private) Certs BLS & ACLS Ratios The goal for ratios is 1 : 4;

however, they are usually running 1 : 5. Occasionally could be 1 : 6 EMR Sunrise Charge Nurse / House Supervisor "Charge nurses take a full patient assignment on both day & night shift Also has a Clinical Assistant who works 2, 12's (on the floor w / a patient assignment) & 2, 8's in the office.

Nurse Aides Usually have 2-3 CNA's w / ratios 1 : 10-12 Weekend Requirement "Fri / Sat / Sun are all considered weekend shifts.

Nights has to work 4 weekend night shifts / 4 week schedule. Days has to work 4 weekend day shifts / 4 week schedule; however, no one on this unit truly works straight days.

Anyone who works straight days is required to work a minimum of 3 night shifts / 4 week schedule. The 3 night shifts do not have to be on the weekend.

The only shift that is considered a straight shift is nights. " Holidays Travelers must be flexible if they need them to work holidays;

however, they don't usually have to work many holidays as they are typically covered by the perm staff. Scrub Color RN's : Navy blue top & bottom, navy scrub jackets, no hoodies Tele Monitors Nihon Kohden Do nurses read strips?

They have Tele Techs but RN's must be able to ready & interpret their own strips Drips RN's must be able to titrate drips : Amiodarone, Cardizem, Dopamine, Dobutamine, Labetolol, Nitro, & Heparin.

Occasionally Lasix. Vents " All respiratory equipment is managed by RT (AirVo - high flow, Respironics - Bipap)" Hospitalist or Intensivist in house "Hospitalist in-house 24 / 7 Intensivist in the ICU 24 / 7 Also have residence in-house 24 / 7 " IV Team "IV team in-house 24 / 7 & also have a PICC / Midline team NOTE : The IV team does all IV starts" RT 24 / 7 RT is in-house 24 / 7 Pharmacy 24 / 7 Pharmacy is in-house 24 / 7 - Pyxis Shifts "12's : Must be on the unit ready to go by 6 : 45 am / pm.

Shifts run from 7a - 7p. Self-scheduling is allowed as long as the needs of the unit are met. Staff are allowed 4 requested days off per month" Floating All staff are required to float as needed into the rotation (Tele or MedSurg) w / ratios up to 1 : 6, possibly 1 : 7 in MedSurg (not common) Also expected to go to Pandemic Unit Floor specific orientation The 1st day is spent with HR for approximately 4 hours, then the remaining 8 hours would be on the unit w / a preceptor, as well as the 2nd day on the unit w / a preceptor.

After this they will be on their own Common diagnosis / Types of patients Chest pain, r / o MI, CHF, Arrhythmias, post pacer, pre / post Caths (manage radial bands & remove but do not pull sheaths), groin checks, any other overflow patients that required intermediate care acuity, they rarely get chest tubes.

They also manage patients on Tikosyn therapy.