Travel Nurse RN - Cardiac Stepdown
Salisbury, NC
Tact Staff
3x12 hrs

### RTO after booking is NOT allowed and is NOT allowed to be worked out onsite. Any call offs or additional RTO on unit, could possibly turn into a Cancel and DNR ###

***BLACK OUT RTO: 11/28/2024 - 12/02/2024; 12/18/2024 - 01/02/2025***
****NO BLOCK SCHEDULING****
***CLIENT OFFER W/ ZOOM INTERVIEW through the holiday season***

REQUIRED SKILLS / CERTS / EXP:
Minimum Years of Experience: 2 Years (It is a challenging and very busy unit - must have similar experience with ratios/acuity).
Traveler Experience: Yes, willing to accept first time travelers
Locals Accepted / Rate Difference: Yes
Skills: IV Start and Telemetry, pre and post procedure patients cardiac pts., cardiac drips, PCI
Certs: ACLS, BCLS and NIH.

JOB DETAILS:
Target Ratios: 1:5-6. Could fluctuate based on unit needs but travelers must be comfortable taking 6 patients. surge.
Unit will accept contracts from 13+ weeks up to March 15, 2025 (hard stop) to get the Unit through the Holidays!
Shift: 12 HR NIGHTS; 18:45 - 07:15
***BLACK OUT RTO: 11/28/2024 - 12/02/2024; 12/18/2024 - 01/02/2025***
****NO BLOCK SCHEDULING****
Call Requirement: Yes; Frequency of On Call depends on patient census.
Float Requirement: YES
Weekend Requirement: Every other weekend, 2 Mondays and 2 Fridays in a 6 week period is required.

PATIENT DIAGNOSES: We are the primary cardiac and stroke unit. Stable pre/post care for pacemaker implantation, implanted carioverter/defibrillators, and cardiac catheterization, TR bands. Post uncomplicated interventional peripheral vascular procedure/cardiac interventions without sheaths(s). Non-rebreather mask with stable O2 saturation (must be on pule ox, Unstable angina, low risk chest pain evaluation, CHF, Dysrhythmias, All NEW CVA, TIA patients. Run multiple drips: Cardiazem, Dopamine, Amiodarone, etc.

SPECIAL PROCEDURES / UNIT DETAILS: Can titrate cardizem drips Should be used to a fast passed unit. We typically turnover 78 to 90 patients a week. That means a nurse with a 6 patient assignment can end up turning over their complete assignment and starting over. We do have the addition of a team lead to assist with admissions and discharges.**Unit currently houses COVID positive patients with the use of opti-flow and BIPAP.**
**The high side (23) bed side of CTU is a covid unit that takes patients on opti-flow and acute Bipaps during a covid surge.

SPECIAL EQUIPMENT: Telemetry and pulse ox High Flow O2 (STABLE), Non-Rebreather Mask (Only if Palliative), Bipap can be used, only if it is chronic use, NO NEW BIPAP Blanketrol NO: UNSTABLE O2 W/ BIPAP, NON REBREATHER , Respiratory Rate > than 35, O2 Sat < 85% HIGH FLOW O2 must have pulse ox ordered NO CONTINUOUS KCl w/ Concentration > than 60mEq/Liter, NO NEW BIPAP

UNIT SYSTEMS (Medication, Documentation, Communication):Pyxis, Dimensions (EPIC), SBAR

SCHEDULING TYPE: Self Scheduling per above guidelines and with oversight from leadership to balance as needed.
11/28/2024 - 12/02/2024; 12/18/2024 - 01/02/2025***
****NO BLOCK SCHEDULING****

UNIT ORIENTATION: 36 hours. Travelers must be available everyday week one for hospital orientation

SCRUBS: Navy blue or white or a mixture of the two. Jackets are to be same material and color as uniforms.

**Should be used to a fast passed unit. We typically turnover 78 to 90 patients a week. That means a nurse with a 6 patient assignment can end up turning over their complete assignment and starting over. We do have the addition of a team lead to assist with admissions and discharges.**

***Internal Notes***
Must pass EKG Testing prior to start for this specialty