Registered Nurse - CVICU

Carenest Health Services•Rochester, NY

1d•Onsite

About The Position

The Registered Nurse will provide care in Rochester General Hospital’s Cardio Vascular Intensive Care Unit (CVICU), a 16-bed unit caring for critically ill cardiac surgery patients and patients with complex multi-organ conditions. Patient populations include sepsis, ARDS, renal failure, heart failure, pre-VAD workups, alcohol withdrawal, overdose, multi-organ failure, post-cardiac-arrest patients receiving targeted temperature management, respiratory failure or shock, and patients requiring CRRT, EKOS, IABP, or ECMO. The unit provides care for heart transplant patients and advanced cardiac devices including ECMO, LVAD, RVAD, IABP, and Impella. Nurse-to-patient ratios are 1:2, including for Impella patients, with occasional 1:1 assignments based on acuity. The role requires floating within the nurse’s skillset. The schedule is 7 p.m.–7 a.m. for a 13-week contract, with every other weekend and availability to work every other holiday if needed. The hospital may call off up to three shifts during the contract period without incurring charges for the canceled hours. Requests for time off, block scheduling, and other special scheduling must be submitted with the application. Nurses living within 75 miles of the facility are not accepted.

Requirements

Active New York single-state RN license; pending licenses are not accepted.
Valid ACLS certification.
Valid BLS certification.
Valid NIHSS certification, included with submission.
EPIC experience.
Must live outside the 75-mile radius around the facility.
Must work every other weekend.
Must be available to work every other holiday, if needed.

Responsibilities

Provide nursing care to critically ill cardiac surgery patients and patients with complex multi-organ conditions in the CVICU.
Manage arterial lines, central lines, and PICC lines.
Administer blood products.
Manage ventilators and support patients using HFNC, BiPAP, or CPAP.
Assist with chest tube insertion and removal and care for ventilated patients.
Interpret ABGs.
Manage continuous IV sedation and paralytics, administer emergency medications, and administer and monitor procedural sedation.
Titrate cardiac and vasoactive drips.
Care for patients after CABG and manage advanced cardiac devices, including Impella, IABP, LVAD/RVAD, and Swan-Ganz monitoring.
Provide CVVHD/CRRT care and interpret and manage dysrhythmias.
Acquire 12-lead EKGs.
Follow infection-prevention practices and use PPE.
Provide wound-vac care and manage patients with multisystem organ dysfunction or failure.
Float within the nurse’s skillset.