Facility Information
Address: 301 Yadkin St, Albemarle, NC 28001
Licensed Beds: 109
Trauma Designation: None
Teaching Hospital: No residents or students
Certification: Advanced Primary Stroke Center
Unit Information
Beds: 10 ICU beds and 4 PCU beds (PCU used only during surge capacity)
Average Census: 7.3 patients per day
Minimum Experience Required: 18 months to 2 years of ICU RN experience
First-Time Travelers: Accepted
Patient Types and Common Diagnoses
- Sepsis
- COPD
- CHF
- Chest Pain
- MI, NSTEMI
- Stroke, TIA
- New onset cardiac arrhythmia
- Uncontrolled diabetes mellitus and DKA
- Minor trauma
- Alcohol withdrawal
- ARDS
- Respiratory illnesses including Flu and COVID-19
Patient Ratios
RN: 1:2-3 depending on acuity; often assigned 3 patients
Could include a mix of ICU and Med/Tele patients
CNA: Not available overnight; 1:10 ratio during dayshift only
Licenses and Certifications Required
Required Skills
- Stroke experience and NIH assessments
- Cardiac rhythm interpretation
- Management of arterial lines and central venous pressure lines
- Experience with critical care drips
- Chest tube care
- Peripheral IV starts
- TNK administration (if not given in ED)
- Ventilator management (settings managed by RT)
- Tracheostomy care
- Nasogastric tube placement
- Drain and tube management (Dobhoff, PEG tubes, Hemovac, JP drains, flexiseals, Foley insertion and management)
- PCA pump management
- Wound care
- Ability to perform 12-lead EKGs including STATs
Medication drip management including: critical care drips (titration), cardiac drips (titration), heparin, blood products, and IV fluids
Departmental Support
- House Supervisor
- CNA support during dayshift only
- Charge nurse included in staffing
- Phlebotomy services available
- IV/VAT team available on dayshift
- Respiratory Therapy available 24/7
- Hospitalist coverage 24/7
- First call for intubation; if hospitalist cannot intubate, CRNA is called; ED is third line for intubation
- Intensivist physician rounds Monday through Friday around 6am (night RN provides report)
- For urgent situations, Virtual Critical Care (VCC) is contacted overnight
- Bedside and central telemetry monitoring performed by RNs on the unit
Technology and Equipment
- Electronic Medical Record: EPIC
- IV Pumps: Alaris
- Medication Dispensing: Omnicell
- Monitors: Phillips
Floating Information
Floating is required within the region and scope of practice. Locations include:
- Med/Tele units (1:4 ratio)
- ICU
- PCU (if open)
- ED holds (may be task RN or ICU/Med-Tele holds)
- Behavioral Health unit (medication pass and charting only)
Regional Floating: Required to float to facilities within the region as needed, including multiple hospitals in the area.
If floating mid-shift, travel time between facilities will be paid and remain on the clock.
Candidates not agreeable to floating should decline.
Orientation
- New Employee Orientation (NEO)
- 2-3 days of departmental orientation
Scheduling
- Weekend rotation: at minimum every other weekend
- No on-call responsibilities for travelers
- Holiday work expectation: 75% of holidays
- Return to Office (RTO) requires manager approval
- Shift start time: must clock in between 18:38 and 18:45
- Schedule cycles every 6 weeks
Additional Information
- Scrub color: Navy
- No T-shirts allowed
- Undershirts must be white or navy
- No Crocs allowed
- Free parking available
- Unit culture emphasizes teamwork and open communication; openness to constructive feedback is essential
Shift Requirements
- 18 months to 2 years of ICU RN experience
- BLS, ACLS, NIHSS certifications