RN - PCU

SoftPath Medical; High Point (NC); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Free parking

Job summary

SoftPath Medical seeks an experienced RN to join our PCU team in a community hospital setting. The role emphasizes continuous cardiac monitoring, interpretation of rhythms, and care for general medical patients with telemetry needs, including post-procedural and vascular considerations.

Responsibilities include collaboration with Respiratory Therapy and Hospitalists, medication titration oversight, and ensuring patient safety in a busy telemetry environment.

Qualifications

• 1 year in medical-surgical with telemetry or progressive care experience.

Responsibilities

• RN responsible for continuous cardiac monitoring including rhythm interpretation.

Skills

Cardiac monitoring

Telemetry interpretation

Arterial line management

Non-invasive ventilator care

Vascular line care

Pacemaker/ICD care

Tools

EPIC EMR

Omnicell

Philips Intellivue monitors

Job description

RN - PCU

About Facility

Community-based hospital located in an urban area304 licensed bedsTeaching status includes interns, residents, advanced practice providers, and nursing studentsChest Pain Center accredited by the American College of CardiologyDesignated Primary Stroke Center by The Joint Commission

Unit Information

• Beds: 4
• Average daily census: 4
• Minimum experience required: 1 year in medical-surgical with telemetry or progressive care experience
• First-time travelers accepted

Patient Types and Common Diagnoses

• General medical patients requiring continuous monitoring of cardiac, respiratory, hemodynamic, and neurologic status, including NSTEMI or post-STEMI, cardiac interventional procedures, electrophysiology procedures, heart failure, and post-stroke care
• General, vascular, or immediate thoracic surgical patients needing continuous cardiac, respiratory, or hemodynamic support, including pharmacological titration of cardiac anti-arrhythmic drips (e.g., amiodarone, cardizem, cardene, dobutamine, tridil)
• Patients with respiratory failure requiring medium or high flow oxygen devices or non-invasive positive pressure ventilation (NIPPV)

Patient Ratios

• RN: 1:3 or 1:4 depending on interventions
• CNA: Yes, ratio varies

Required Licensure & Certifications

• BLS, ACLS, and NIHSS (Resource Team requirement)

Skills Required

• Cardiac and hemodynamic monitoring, cardiac strip and rhythm interpretation
• Management of arterial lines and titration of drips
• Non-invasive ventilator care (BiPAP/CPAP) with Respiratory Therapist support 24/7
• Care of vascular lines, chest tubes or drains
• Post-procedure site care including transradial bands, femoral venous or arterial sheaths
• Post-electrophysiology permanent pacemaker or ICD care
• Post pulmonary artery thrombectomy (Prenumbra, Inari)

Support within the Department

• CNA support: Yes
• Receptionist/HUC: No
• Charge nurse: No
• Phlebotomy: Varies
• IV/VAT Team: No
• Resource nurse: No (Charge Nurse from ICU or CTU serves as Resource)
• Rapid Response Team: Yes
• Respiratory Therapist available 24/7
• Hospitalist available 24/7
• Telemetry monitoring: RN responsible for continuous cardiac monitoring including rhythm interpretation; Telemetry Techs are a resource

Technology and Equipment

Electronic Medical Record: EPICIV Pump: BaxterMedication dispensing: OmnicellMonitors: Philips Intellivue; all 18 rooms equipped with in-room monitorsUnit-specific equipment: Arterial lines for invasive blood pressure monitoring interfaced with Philips monitors

Floating

Float within the critical care division or Intermediate Care.

Orientation

• 36 hours during week 1 including New Team Orientation and online computer-based learning (Healthstream)
• 12-hour department-specific orientation shift with an RN preceptor

Other Notes

• Scrub color: Royal Blue
• Parking: Free
• Unit culture: Positive, team-focused (High Tech, High Touch); emphasis on working as one team