: Moses Cone Hospital, Cardiovascular ICUCITY
: Greensboro JOB DETAILS
Exempt: No | FTE: 1.0 (40 hours/week) | Schedule: 8 hour nights | On Call: NOJOB SUMMARY
Assesses, plans, implements, documents, organizes, prioritize, delegates, supervises and coordinates the care of neonatal, pediatric, adolescent, adult, geriatric patients as prescribed within the parameters of the NC Nurse Practice Act and hospital complex.
Required: Graduation from a BSN, ADN or Nursing Diploma program, consideration may be given to RN's holding a certificate from approved foreign nursing programs.
All registered nurses without a BSN or higher will be required to enroll in a BSN program within one year of their hire date with completion of the program occurring within four years of hire.
Required: New RN Graduates: Acceptance into Cone Health New Graduate program or completion of an acute care new graduate program.
Preferred: Experienced RN : One year of Acute Care RN experience is preferred. Hiring leader may consider other RN experience at their discretion.
RN | Registered Nurse licensed in North Carolina or a Compact state.
BLS (CPR)-American Red Cross or AHA Healthcare Provider
The following certifications are preferred and may be required within a certain time frame of hire as defined by the specific nursing unit.
Advanced Cardiac Life Support (ACLS)
Pediatric Advanced Life Support (PALS)
Neonatal Resuscitation Program (NRP)
Critical Care Registered Nurse (CCRN)
Safe Training and Responsible Restraints (STARR)MOSES CONE HEALTH SYSTEMScopeof Services2H/ Cardiovascular Intensive Care (CVICU) Unit
- 2 Heart CVICU is a 26bed patient care department with 26 private, hard-wired monitored beds withtelemetry capability that provides care primarily to cardiovascular/thoracicintensive care patients, 7 days a week, 24 hours a day. The patient rooms are locatedon the perimeter of a rectangular shaped department with 7 nursing stationsaround the department. Supply storage isin between the nursing stations in the center of the department. Each nursingstation contains a patient call system and 3 nurse stations with centralcardiac monitoring system at the center and at each end of the department.
- High volume patient populations include those experiencing anacute myocardial infarction (MI) with complications, complex arrhythmias, heartfailure, undergoing Cardiac Surgery, Aortic Abdominal Aneurysm Repair, ThoracicAbdominal Aneurysm Repair, Esophagectomy patients, Thoracotomy, multipletrauma, sepsis, Shock, acute respiratory failure, renal failure, hypertensivecrisis, and CVVH. Low volume populations include head trauma, stroke,pneumonia, drug overdose, diabetic ketoacidosis, GI bleed, and long termventilator patients. The average lengthof stay is 34.71 days based on admissions. Age groups served are adult andgeriatric.
- Nursing care is provided 24 hours a day, 7 days a week by an RNstaff that is supported by ancillary staff of Nurse Technicians and a NursingSecretary. Nursing care includes cardiac and respiratory assessment andmonitoring, pharmacological support to the hemodynamically unstable patient andmedical and nursing interventions to achieve physiologic stability and preventcomplications. Services also include patient education related to the surgicalprocedure, disease process, other procedures, and support services fordiagnostic purposes and rehabilitation.
The medical and nursing directors are responsible for triageof patient admissions. They are supported by and collaborate with the AssistantDirector (AD), Charge Nurse (CN) and RN IV. Triage is determined by usingadmission and discharge criteria approved by the Critical Care Committee.
4. StaffingPlan/Ratios - The availability of staff to provide services
Registered Nurses, Nursing Technicians, and NursingSecretary. Registered Nurses, NursingTechnicians are scheduled 7 days a week, 24 hours a day and Nursing Secretaryare scheduled 7 days a week, 16 hours a day. Patient assignments are based uponpatient acuity and staff skill. We budget for a ratio of 1.72 patients per RN24 hours a day. The goal is two Nursing Technician each shift and one NursingSecretary from 0700 to 2330 each day.
Staff are scheduled for 6-week periods and distributed basedupon anticipated daily census, shift census, and staff experience. Staff competenciesand skills to provide services
(* Indicates key competencies)
• Current Licensure
• Current CPR
• Current ACLS
• Life Safety, Fire safety, InfectionControl, and general safety to meet OSHA, state and facility requirements;Corporate Compliance
• Basic and Advance EKG*
• 12 Lead ECG interpretation
• Cardiac assessment
• Hemodynamic Monitoring of ArterialLines and Central Venous Lines and Swan Ganz catheters with cardiac output andwedge measurements
• Cardiac Output measurement,pulmonary wedge pressures and the manipulation of cardiac invasive catheters*
• Defibrillation and Cardioversion*
• Medical emergency/Code/Resuscitation care
• Cardiac and Emergency Pharmacologyknowledge
• Management of Pacemakers forepicacardial and transvenous pacing*
• Care and management of acute coronary syndrome toinclude chest pain, MI, and post PCI
• Arterial and venous sheath removal
• Post cardiac arrest therapeutichypothermia care
• Pericardial drain care
• Aquapheresis therapy
• IV management and titration ofmedications
• Vasoactive Drip titration*
• Cardiac and Respiratory assessmentand intervention skills
• Administration of oxygen deliverysystems including Bipap, mechanical ventilation, and oscillator*