RN - 19499353

HCA Henrico Doctors Forest VA • Richmond, VA

1d • Onsite

About The Position

The Registered Nurse will provide comprehensive nursing care in a fast-paced Progressive Care Unit (PCU) in Richmond, Virginia. The unit has 20 beds and a 4:1 patient ratio. The role involves advanced cardiac care, management of complex cardiac drips, and support for patients with respiratory needs. Nurses may float to other step-down units with 4:1 ratios and medical-surgical units with 6:1 ratios.

The team includes unit secretaries, nurse externs, patient care technicians, registered nurses, a manager, and a director. The unit emphasizes teamwork, accountability, and collaboration with the ICU and Cath Lab. Nurses are expected to attend shift huddles and provide bedside shift reports for all patients, including those in isolation. Shifts start promptly at 0700 or 1900.

Required experience includes step-down nursing, cardiac drips, and respiratory therapies such as BIPAP, CPAP, and high flow. Bedside cardioversion skills are also needed, with appropriate recovery staff. Required certification: ACLS. Scrubs must be all navy blue or all white, with closed-toed shoes; Crocs are not permitted. HCA/Hospital branded T-shirts are permitted.

Requirements

• Experience in step-down units.
• Proficiency with cardiac drips.
• Familiarity with BIPAP, CPAP, or high-flow therapy.
• ACLS certification.
• Experience with post-cath patients without intervention and chest tubes.
• Bedside cardioversion skills.

Responsibilities

• Provide comprehensive nursing care in a fast-paced step-down unit.
• Provide cardiac care and manage complex cardiac drips, including Dilt, Amio, Dobut, Milrinone, and Nitro.
• Support patients requiring BIPAP, CPAP, or high-flow respiratory therapy.
• Care for post-cath patients without intervention and patients with chest tubes.
• Perform bedside cardioversion with appropriate recovery staff.
• Float to other step-down and medical-surgical units as needed.
• Attend mandatory shift huddles and provide bedside shift reports for all patients, including isolation patients.
• Arrive promptly for shifts beginning at 0700 or 1900.

What This Job Offers

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