RN / REGISTERED NURSE / STEP DOWN RN / STEP DOWN NURSE

Location
Dyer, IN
Salary
Competitive
Posted
Sep 21, 2019
Closes
Oct 21, 2019
Contract Type
Travel
Hours
Full Time
Progressive Care Unit Registered Nurses provide care for patients who require close monitoring and frequent assessment but are not unstable enough to require ICU care. The PCU RN will monitor critical vital signs and detect any changes, enabling intervention in a life-threatening or emergency situation.. The PCU RN is also sometimes referred to as Step Down Nurse and the Progressive Care Unit can also be known as Cardiac Stepdown, Neuro Stepdown, Medical Stepdown, Surgical Stepdown and ER holding. The PCU RN cares for patients as they transition from the ICU. Progressive care describes the care delivered to patients whose needs are less acute.. A decreased risk of a life-threatening event, decreased need for invasive monitoring, increased stability and an increased ability to participate in their own care are characteristics of the progressive care patient.The PCU RN should demonstrate the following basic competencies:Basic and advanced life supportDysrhythmia monitoring techniques, interpretation and treatmentMedication dosage calculation, patient monitoring for medication effects, continuous medication infusion administration (non-titrated vasoactive agents, anti-arrhythmic agents, platelet inhibitors and/or insulin)Patient monitoring using standardized procedures for pre-, intra, and post procedures (TEE, cardiac catheterization with PCI, cardioversion, bronchoscopy, EGD, PEG placement, chest tube insertion)Recognition of the symptoms and signs of cardiopulmonary emergencies and the initiation of standardized interventions to stabilize the patient awaiting transfer to critical care.Hemodynamic monitoring including equipment setup and troubleshooting, monitoring and recognition of signs and symptoms of patient instability.Interpretation of ABGs and communication of the findingsAssessment of the ventilated patient to assure delivery of the prescribed treatment and proper patient responseRecognition of indications for and management of the patient requiring non-invasive 02 delivery systems including oral airways, bipap and nasal CPAPAssessment and understanding of long term mechanical ventilation and weaningAssessment, monitoring and managing of patients who require renal therapeutic interventions such as hemodialysis, peritoneal dialysis, continuous bladder irrigation, stents and urostomiesRecognition of the indications for and complications of enteral and parental nutritionRecognition of and evaluation of the familys needs for more involvement in the care to aid in transition from hospital to home The PCU RN should have the following characteristics: advocacy, clinical judgment, caring practices, systems thinking, response to diversity, collaboration, clinical inquiry and also be a teacher to educate the patients and their families.

General Comments

Contractor justification (please explain the business need for this contractor requestmultiple projects requiring the same resource, internal resignation [provide name and termination date], leave coverage [provide name], etc.):

What steps have been taken to manage staffing prior to making a request for contingent labor? We have two new nurses in orientation so we need coverage during their training

Is there currently a full-time position posted for this opening? yes

How long has the position been open? one month

Years of experience required: five years of experience

Skillsets/certifications required: Telemetry certified or trained

Who else in your organization will be involved in the interview or selection process? (Please include name and email address) Manager, Cheryll Bello

Is there anyone in the past that has worked for you that you would consider rehiring? no

Work schedule (hours per week, days needed, shifts): full time, day position, 7a-7p, alternating weekends

Work location (please provide details of any special considerations you may be willing to allow for remote work, if applicable): Hammond

Will the position be required to travel to other Franciscan locations as part of the job? Yes, may be asked to float to Dyer or Munster

EMR for the facility: Epic

Dress code: Navy Blue Scrubs

Parking location: Employee Parking

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