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RN--Cardiovascular ICU, 24 hours/week, Moses H. Cone Hospital

Job ID: 6731
Facility: Moses Cone Hospital
City: Greensboro

Date Posted: 2021-04-30 06:45:13 UTC
2019-01-23 07:11:50 UTC

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Job Description

LOCATION: Moses Cone Hospital, Cardiovascular ICU
CITY: Greensboro

JOB DETAILS:
Exempt: No | FTE: 0.6 (24 hours/week) | Schedule: 7:00 PM - 7:00 AM | On Call: NO |$8K sign on bonus available for qualifying candidates

JOB 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.

EDUCATION:
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.

EXPERIENCE REQUIREMENTS
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.

LICENSURE/CERTIFICATION/REGISTRY/LISTING:
REQUIRED
RN | Registered Nurse licensed in North Carolina or a Compact state.
BLS (CPR)-American Red Cross or AHA Healthcare Provider

PREFERRED
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)

ABOUT CONE HEALTH:
Cone Health is an equal opportunity employer. If you require assistance with our online job submission process, please contact our team at 866-266-3767 to request an accommodation.

MOSES CONE HEALTH SYSTEM

Scope of Services

2H/ Cardiovascular Intensive Care (CVICU) Unit

1. Department Description - 2 Heart CVICU is a 26 bed patient care department with 26 private, hard-wired monitored beds with telemetry capability that provides care primarily to cardiovascular/thoracic intensive care patients, 7 days a week, 24 hours a day. The patient rooms are located on the perimeter of a rectangular shaped department with 7 nursing stations around the department. Supply storage is in between the nursing stations in the center of the department. Each nursing station contains a patient call system and 3 nurse stations with central cardiac monitoring system at the center and at each end of the department.

2. Population/Clients Served - High volume patient populations include those experiencing an acute myocardial infarction (MI) with complications, complex arrhythmias, heart failure, undergoing Cardiac Surgery, Aortic Abdominal Aneurysm Repair, Thoracic Abdominal Aneurysm Repair, Esophagectomy patients, Thoracotomy, multiple trauma, sepsis, Shock, acute respiratory failure, renal failure, hypertensive crisis, and CVVH. Low volume populations include head trauma, stroke, pneumonia, drug overdose, diabetic ketoacidosis, GI bleed, and long term ventilator patients. The average length of stay is 34.71 days based on admissions. Age groups served are adult and geriatric.

3. Services Provided - Nursing care is provided 24 hours a day, 7 days a week by an RN staff that is supported by ancillary staff of Nurse Technicians and a Nursing Secretary. Nursing care includes cardiac and respiratory assessment and monitoring, pharmacological support to the hemodynamically unstable patient and medical and nursing interventions to achieve physiologic stability and prevent complications. Services also include patient education related to the surgical procedure, disease process, other procedures, and support services for diagnostic purposes and rehabilitation.
The medical and nursing directors are responsible for triage of patient admissions. They are supported by and collaborate with the Assistant Director (AD), Charge Nurse (CN) and RN IV. Triage is determined by using admission and discharge criteria approved by the Critical Care Committee.

4. Staffing Plan/Ratios - The availability of staff to provide services

Registered Nurses, Nursing Technicians, and Nursing Secretary. Registered Nurses, Nursing Technicians are scheduled 7 days a week, 24 hours a day and Nursing Secretary are scheduled 7 days a week, 16 hours a day. Patient assignments are based upon patient acuity and staff skill. We budget for a ratio of 1.72 patients per RN 24 hours a day. The goal is two Nursing Technician each shift and one Nursing Secretary from 0700 to 2330 each day.

Staff are scheduled for 6-week periods and distributed based upon anticipated daily census, shift census, and staff experience.

Staff competencies and skills to provide services
(* Indicates key competencies)
RN
• Current Licensure
• Current CPR
• Current ACLS
• Life Safety, Fire safety, Infection Control, 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 Arterial Lines and Central Venous Lines and Swan Ganz catheters with cardiac output and wedge 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 Pharmacology knowledge
• Management of Pacemakers for epicacardial and transvenous pacing*
• Care and management of acute coronary syndrome to include chest pain, MI, and post PCI
• Arterial and venous sheath removal
• Post cardiac arrest therapeutic hypothermia care
• Pericardial drain care
• Aquapheresis therapy
• IV management and titration of medications
• Vasoactive Drip titration*
• Cardiac and Respiratory assessment and intervention skills
• Administration of oxygen delivery systems including Bipap, mechanical ventilation, and oscillator*
• Ventilator management*
• Pulmonary management to include chest tubes, pleurex drain, and trach care
• Maintenance of and Discontinuation of Thoracotomy Tubes*
• Stroke ( Identification, care, and management)
• IV Conscious Sedation*
• Discontinuation of Central Venous Lines*
• Discontinuation of Arterial Lines*
• IABP therapy*
• Obtaining blood from an existing arterial line/ central line*
• CRRT ( Continuous Renal Replacement Therapy)
• LVAD Therapy*
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