PCU MedSurg-Tele Stroke Unit RN Hours: 7A-7P OR 7P-7A Openings: 2 days, 2 nights Pay: $60-$65 per hour Location: Randallstown, MD Contract: 13-weeks Start Date: 4/12/2021 Unit Summary: As a member of the patient care team, the RN provides safe, age-appropriate patient care and functions as an advisor and resource for patients and their families. Characterizes the nurse’s ability to utilize clinical reasoning which includes clinical decision making, utilization of resources, synthesis thinking coupled with nursing skills acquired through a process of situational learning and evidence-based. The Progressive Care Unit is a 40-bed unit with an admitting diagnosis of chest pain, syncope, heart failure, stroke or GI bleeds. Patients on this unit may also be going through alcohol withdrawal or have had a change in mental status. Nurses on this unit are able to provide medical and surgical care, as well as telemetry services. The unit is equipped with a Phillips monitoring system with a central monitor station, and Stat View pagers, which are carried by each nurse. This is a busy and challenging unit. PCU staff members are outgoing and positive, and must utilize strong organizational and leadership skills to assess patient status, implement clinical nursing interventions to modify symptoms, and develop and implement patient care plans to enhance and improve outcomes. Patients recovering from cardiac problems require monitoring from specially trained nursing staff. Most patients are transferred from the Critical Care Unit; others may be admitted directly for monitoring and identifying vascular disease. Requirements: • Bachelor’s degree in Nursing • Registered Nursing License • 1+ years of experience in PCU MedSurg-Tele Stroke units • BLS • American Heart Association CPR Certification • Stroke certification preferred • Ability to communicate effectively writing and verbally • Basic professional knowledge • Medical Terminology Special Equipment in the PCU Telemetry Patients in the PCU are connected to a portable heart monitor called a telemetry. The telemetry monitors the speed and any irregularities in the heartbeat. The telemetry unit is connected to the patient with two adhesive patches called electrodes. The heartbeat is displayed at a central monitoring station in the Critical Care Unit and can also be displayed on a screen in the PCU. A trained staff member constantly watches the central monitor and will respond immediately to any irregularities. The monitoring station can communicate with the PCU nursing staff by intercom. Telemetries are portable so that patients can move around and the effects on the heart can be monitored. However, sometimes electrodes or connecting lead wires become loose or do not transmit properly. It is not unusual for the nursing staff to change the electrodes' position, wires and batteries. This may happen often and is nothing to be alarmed about. Usually when a patient hears their room number on the intercom it is only asking the PCU staff to better connect a telemetry. Sometimes a patient may have to be awakened at night to adjust the telemetry to transmit a better picture. Telemetry batteries and electrodes will be changed routinely on all patients. Other Equipment Nurse Call Light A call light is kept within each patient's reach. When the button is pushed, a clerk answers. The patient should tell the clerk the type of assistance that is needed. This is especially important if urgent help is needed so that the nursing staff will be informed to respond immediately. The television control is also located on the nurse call box. Intravenous (IV) Line and Pump Patients often have an IV line or a small IV "plug" in their arm. The IV can be used to provide nourishment, medications, or to deliver treatment in an emergency. Intravenous tubing is often connected to a pump. The pump may "beep" a signal for the nurse, but it should not alarm patients or visitors. Oxygen Oxygen is often ordered to help the patient breathe more effectively. It is usually a small tube worn under the nose. Depending on the patient's condition, other equipment may be used to assist in monitoring. The PCU is also well equipped to handle emergencies. Physical Demands: Medium - Exerts up to 50 lbs. of force occasionally, and/or up to 20 lbs. of force frequently to move objects. Work Environment: Substances - Potential exposure to hazardous substances, chemicals, equipment and reagents. Level One Personnel is an equal opportunity and affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other status protected by law.