RN - PCU

SoftPath Medical; Monroe (NC); On-site; USD 90,000 - 130,000; Full time

Job summary

SoftPath Medical seeks an RN for PCU travel assignments in North Carolina. The unit handles stroke, heart failure, chest pain, COPD, and post-catheterization care, with RN-to-patient ratios of 1:3-4 and CNA support.

The role requires BLS, ACLS, and NIHSS for Resource Team; extensive critical care skills including stroke management, cardiac rhythm interpretation, IV start, tracheostomy and chest tube care, plus 24/7 support from hospitalists, intensivists, and virtual nurses.

Qualifications

• BLS, ACLS, NIHSS required for Resource Team.
• Stroke experience and critical care skills are essential (PCU).
• Ability to float within regional facilities and support RN-to-patient ratios.

Skills

Gtt Management

Stroke care

Rhythm interpretation

Tracheostomy care

IV access

Chest tube care

Drain management

PCA pumps

Tools

EPIC

Omnicell

Alaris

Phillips monitors

Job description

RN - PCU

About Facility

Facility features include:

• 174 licensed beds
• No Trauma Designation
• Teaching Hospital with Community Schools of Nursing only
• Not a Chest Pain Center, but part of a regional Chest Pain Network
• Joint Commission Stroke accredited

Radius rule: Traveler's permanent address must be at least 50 miles outside of the home unit

Unit Information

• Number of beds: 11
• Minimum experience required: 18 months PCU RN experience (Resource Team)
• First-time travelers: Not preferred but will be considered (Resource Team)

Patient Types / Common Diagnoses

• Stroke
• Heart Failure
• Chest Pain
• patients requiring fluid resuscitation or blood products
• COPD
• Cardiac Catheterization pre/post
• Alcohol withdrawal/CIWA
• IV drug abuse
• Respiratory illnesses
• GI disorders and infections
• Liver Failure
• Acute and Chronic Kidney Disease

Patient Ratios

• RN to patient ratio: 1:3-4
• CNA to patient ratio: 1:5-6

Required Licenses and Certifications

• BLS, ACLS, NIHSS (Resource Team requirement)

Skills Required

• Gtt Management: Critical care drips including Insulin, Nitroglycerin, Cardene, Diltiazem, Amiodarone, Heparin, and Blood products
• General PCU skillset: Stroke experience, cardiac rhythm interpretation, tracheostomy care and management, peripheral IV starts, chest tube management, nasogastric tube placement, drain/tube management (Dobhoff, PEG tubes, Hemovac, JP drains, flexiseals, Foley insertion/management), PCA pumps

Support within the Department

• CNA - ratios vary
• Receptionist/HUC
• Charge nurse available 24/7 - may or may not have patients
• Phlebotomy - peripheral blood draws only
• IV/VAT Team
• Resource Nurse - as available
• Respiratory Therapist, 24/7
• Hospitalist, 24/7
• Intensivist, 24/7 (virtual after hours)
• No telemetry monitoring tech; nurses read monitors and respond
• Virtual Nurses available 24/7

Technology / Equipment

• Electronic Medical Record: EPIC
• IV Pump: Alaris
• Medication dispensing: Omnicell
• Monitors: Phillips

Floating

• Floating as needed within the region
• Floating required per regional needs - may include multiple facilities within the region; must be agreeable to floating within scope of practice
• If floating mid-shift, travel time between facilities will be paid and remain on the clock

Orientation

• New Employee Orientation (NEO)
• 2 days departmental orientation

Scheduling

• Weekend rotation: every other weekend
• No on-call duties for travelers
• Holiday expectations: Travelers will work approximately 75% of holidays
• Return to Office (RTO): Resource Team approval required

Other Notes

• Scrub color: Navy
• Parking: Free