Clinical Nurse

Unit Information

Supporting various units within the facility, with responsibilities across multiple locations. The units include:

• MSICU: 40 beds
• CVICU: 10 beds
• PCU: 40 beds
• 2R PCU Observation: 18 beds (can increase to 27 total beds)
• CCU: 30 beds
• Medical Unit: 89 beds
• Surgical Unit: 55 beds
• Flex Unit: 9 beds
• Inpatient Rehabilitation: 47 beds
• ER Holding Unit
• COVID Overflow

Minimum Experience Required

• ICU: 2 years of ICU experience
• PCU/PCU ER Holds: 2 years of PCU experience
• Medical-Surgical: 2 years in an acute care setting

Patient Types and Common Diagnoses

The role will involve caring for a variety of patients across different units:

ICU

• Respiratory failure
• GI bleeds
• DKA
• Sepsis
• Complicated post-operative patients
• CVA’s
• Flap surgeries
• Post-arrest cases
• Substance use disorders (ETOH, IVDA)

PCU

• Respiratory compromise
• Sepsis
• Renal failure
• Bleeding disorders
• CHF
• COPD
• Pneumonia
• General medical/surgical patients

Medical-Surgical

• Oncology: Neutropenic, post-operative patients
• General Medical Surgical: COPD, CHF, sepsis, DVT, AKI, dialysis, COVID
• Post-operative orthopedic cases

Patient Ratios

• ICU: 1:2 based on acuity
• PCU and CCU: 1:4 depending on acuity
• Medical and Surgical Units: 1:5
• Rehab: 1:8 team model (RN, LPN, Tech)

Required Certifications

• ICU: ACLS, BLS, NIHSS
• PCU: ACLS, BLS, NIHSS
• Medical-Surgical: BLS, NIHSS

Required Skills

• ICU: Cardiac rhythm interpretation, vent management, invasive line management, trach care
• PCU: Cardiac rhythm interpretation, chest tubes, lumbar drains, trach care, IV medication titration
• Medical-Surgical: IV placement, PCA management, chest tubes, drains, ostomy care

Support within the Department

• Technicians: Varies by unit
• Respiratory Therapy: Available 24/7
• Hospitalist: Available 24/7
• Intensivist: Available 24/7

Technology and Equipment

• EMR: EPIC
• IV Pump: Alaris
• Medication Dispensing: Pyxis

Floating

Floating may occur between units and partial shifts, always within the scope of practice and capabilities.

Orientation

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