RN - 19413760

HCA Mission Hospital•Asheville, NC

About The Position

The Registered Nurse (RN) works in the CVICU, a 16-bed unit in Asheville, North Carolina. The unit staffs RNs only, with no unit secretaries or patient care technicians. Patient ratios are typically 2:1 or 1:1, and may occasionally be 3:1 depending on acuity. Travelers may float to all areas. The unit offers the opportunity to work with advanced equipment in a collaborative environment and develop professional skills in critical care. The role involves caring for patients requiring cardiovascular and intensive care, using equipment including ventilators, telemetry, Baxter IV pumps, intra-aortic balloon pumps (IABP), continuous renal replacement therapy (CRRT), Impella devices, and hypothermia equipment. Documentation is completed in Cerner. The schedule is 36 hours per week on 12-hour shifts, including alternating weekends. Staff must follow the specified scrub colors and dress-code rules.

Requirements

  • ICU experience is required.
  • Skill in titration of vesicant medications.
  • Familiarity with pressors.
  • Experience with sedation and paralytics.
  • Experience with ventilators and tracheostomy care.
  • Ability to interpret telemetry.
  • Understanding of hemodynamics and PA catheter setup and interpretation.
  • Experience with transvenous pacing, cardioversion, and TEE.
  • Familiarity with chest tube insertions and maintenance.

Nice To Haves

  • IABP experience.
  • Impella experience.
  • CRRT experience.
  • CCRN certification is recommended; no specific certifications are required.

Responsibilities

  • Provide nursing care to CVICU patients, with patient assignments generally at 2:1 or 1:1 and occasionally 3:1 depending on acuity.
  • Use and manage ventilators, telemetry, Baxter IV pumps, IABP, CRRT, Impella, and hypothermia equipment as applicable.
  • Perform or support clinical skills including titration of vesicant medications, management of pressors, sedation and paralytics, ventilator and tracheostomy care, telemetry interpretation, hemodynamic and PA catheter setup and interpretation, transvenous pacing, cardioversion, TEE, and chest tube care.
  • Document patient care in Cerner.
  • Work 36 hours per week on 12-hour shifts, including alternating weekends.
  • Float to other areas as required under the travelers' floating policy.
  • Follow the unit's scrub-color and dress-code requirements.
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