RN - 19499354

HCA Henrico Doctors Forest VA • Richmond, VA

2d • Onsite

About The Position

The Registered Nurse works in the 20-bed Progressive Care Unit (PCU) in Richmond, Virginia. The unit’s patient ratios are 4:1. The team includes a unit secretary, nurse externs, patient care technicians, registered nurses, a manager, and a director. The unit uses Expanse for documentation and equipment including ZOLL, Baxter pumps, GE telemetry monitors, imobile, Hillrom and Centrella beds, Kangaroo pumps, and Timpani and Inspire scheduling apps.

The nurse cares for progressive-care patients, including patients receiving cardiac drips, recovering from cardiac catheterization, or requiring noninvasive respiratory support. The role requires experience with acute care or step-down nursing, chest tubes, and sepsis care. There is potential to float to other step-down units with 4:1 ratios and medical-surgical units with 6:1 ratios.

The unit emphasizes collaboration with the ICU and Cath Lab, teamwork, and accountability. Shifts begin promptly at 0700 or 1900; attendance at shift huddles and bedside shift report for every patient, including isolation patients, is mandatory. The schedule requires every other weekend, holidays or hard-to-fill availability, and two Mondays and two Fridays per schedule. Time and attendance are strictly enforced. Required attire is all navy-blue or all-white scrubs, with closed-toed shoes; Crocs are not permitted. HCA- and hospital-branded T-shirts are allowed.

Requirements

• Experience in acute care or step-down nursing.
• Experience in step-down units and proficiency with cardiac drips.
• Proficiency with BiPAP, CPAP, or high-flow devices.
• Experience providing sepsis care.
• Experience managing post-cardiac-catheterization patients.
• Experience with chest tubes.
• ACLS certification.
• Availability to work every other weekend, holidays or hard-to-fill shifts, and two Mondays and two Fridays in a schedule.

Nice To Haves

• Experience with bedside cardioversion, with appropriate Cath Lab staff.

Responsibilities

• Provide nursing care to patients in a Progressive Care Unit.
• Administer and monitor cardiac drips, including Diltiazem, amiodarone, dobutamine, milrinone, and nitroglycerin.
• Manage patients after cardiac catheterization.
• Care for patients using BiPAP, CPAP, or high-flow respiratory devices.
• Provide sepsis care and care for patients with chest tubes.
• Participate in bedside cardioversion with appropriate Cath Lab staff, as applicable.
• Attend mandatory shift huddles and provide bedside shift report for all patients, including isolation patients.
• Work scheduled weekends and holidays or hard-to-fill shifts, and be available to float to other step-down or medical-surgical units as needed.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed