Registered Nurse - PCU

Lambstaffing; High Point (NC); On-site; USD 75,000 - 110,000; Full time

Job summary

Lambstaffing seeks a skilled RN for a PCU position at a community hospital in High Point, NC. The unit handles cardiac telemetry, stroke and chest pain center responsibilities with 18 beds and 24/7 telemetry monitoring.

Requirements include 1+ year Cardiac Telemetry or PCU experience, BLS, ACLS, NIHSS, and proficiency in EPIC and invasive line care. Night shifts 19:00–07:30 with weekend rotations and travel-friendly orientation provided.

Qualifications

• Monitor cardiac/resp/neurologic status continuously.
• Interpret rhythms; manage arterial lines.
• Titrate cardiac drips per orders.
• Provide post-procedure care (pacemaker/ICD).
• Coordinate with RTs and ICU staff for telemetry monitoring.

Responsibilities

• RN with PCU/CV care responsibilities in a community hospital.
• Maintain patient safety and documentation in EPIC.
• Collaborate with physicians on care plans for NSTEMI/STEMI/post-procedure patients.

Skills

Cardiac monitoring

Rhythm interpretation

Arterial lines

Drip titration

BiPAP/CPAP care

Vascular lines

Chest tubes

Post-EP devices

Pacemaker care

ICD care

Pulmonary thrombectomy care

Education

BLS certification

ACLS certification

NIHSS certification

Tools

EPIC EMR

Baxter IV pumps

Omnicell

Philips Intellivue

Job description

RN - PCU

About Facility

• Community based hospital in urban area, High Point, NC
• 601 N. Elm Street, High Point, NC 27262
• 351 licensed beds
• No Trauma Designation
• Teaching Hospital
• Chest Pain Center
• Stroke Center

Unit Information

• Beds: 18
• Average Daily Census = 18
• Experience: 1+ year Cardiac Tele experience or PCU experience
• First-time travelers welcome

Patient Types/Common Diagnoses

• General medical patientsrequiring continuous monitoring of cardiac, respiratory, hemodynamic and neurologic status having a NSTEMI or status post STEMI, cardiac interventional procedure, electrophysiology procedure, thoracic surgery, heart failure, post stroke
• General, Vascular, or immediate thoracic surgical patients requiring continuous cardiac, respiratory or hemodynamic support include pharmacological titration of cardiac anti-arrhythmic drips (Amiodarone, Cardizem, Cardene, Dobutamine, Tridil, etc)
• Post op day 2 post open heart
• Respiratory failure requiring medium or high flow oxygen devices or NIPPV

Patient Ratios

• RN: 1:3 or 1:4 depending on interventions.

Required Licensure & Certifications

• BLS, ACLS, and NIHSS

Skills required

• Cardiac and hemodynamic monitoring, cardiac strip and rhythm interpretation, arterial lines, titration of drips, non-invasive ventilator care (BiPAP/CPAP, we have Respiratory Therapist 24/7), vascular lines, chest tubes or drains, post procedure site care – trans radial bands, femoral venous or arterial sheaths, post EP permanent pacemaker or ICD, post pulmonary artery thrombectomy (Prenumbra, Inari)

Support within the Department

• CNA? Yes
• Unit secretary/HUC: No
• Charge nurse: Yes
• Phlebotomy: Varies
• IV/VAT team: No
• Resource nurse: No (Charge Nurse serves as Resource)
• Rapid Response Team? Yes
• RT 24/7: Yes
• Hospitalist 24/7: Yes
• Telemetry monitoring? The RN is responsible for continuous cardiac monitoring including interpretation of the rhythm

Technology/Equipment

• EMR: EPIC
• IV Pump: Baxter
• Med dispensing: Omnicell
• Monitors: Philips Intellivue; all 18 rooms have an in room monitor
• Unit specific equipment: Arterial lines for invasive blood pressure monitoring interfaces with Philips monitors

Floating

• Float within the critical care division or Intermediate Care.

Orientation (facility and unit)

• Orientation – 36 hours week 1 includes NTO and Online CBL (Healthstream)
• 12-hour departmental specific orientation shift with an RN Preceptor

Scheduling

• Weekend rotation: every other
• On call: None
• Holiday Expectations: Travelers will work 75% of holidays
• RTO: Resource Team approval
• Shift times: Nights = 1900-0730.
• Schedule cycl Active state license in good standing; minimum 1 year of recent experience in the specialty; BLS required for clinical roles; references upon request