• Snapboard
  • Activity
  • Reports
  • Campaign
Welcome ,

Chat with the recruiter

...Minimize

Hey I'm Online! Leave me a message.
Let me know if you have any questions.

RN - Intermediate Care Unit

In Oklahoma / United States

Save this job

RN - Intermediate Care Unit   

Click on the below icons to share this job to Linkedin, Twitter!

JOB TITLE:

RN - Intermediate Care Unit

JOB TYPE:

JOB SKILLS:

JOB LOCATION:

Ardmore Oklahoma / United States

JOB DESCRIPTION:

RN- Intermediate Care Unit
Pay Rate: $64.29/HR
Experience: 2+ years in Stepdown

Cortech is seeking an Intermediate Care Unit RN for our client in Ardmore, OK.

Education: BSN preferred (not required) To define the admitting and discharge criteria of patient in the Intermediate Care Unit. Patients appropriate for admission to the Intermediate Care Unit are those whom require frequent monitoring of vital signs and/or nursing interventions, but do not require invasive monitoring. I. Admission Criteria – the following are guidelines with some examples of specific conditions or diseases that may qualify for intermediate care.

A. Cardiac System
1. Hemodynamically stable myocardial infarction
2. Hemodynamically stable dysrhythmias
3. Mild-to-moderate congestive heart failure without shock 4. Hypertensive urgency without evidence of end-organ damage.
5. Patients requiring non-titrating vasoactive medications, physician specifically guides all titration. (low dose Dopamine, Dobutamine, Cardizem)

B. Pulmonary System
1. Medically stable ventilator patients for long-term weaning and chronic care.
2. Hemodynamically stable patients with evidence of compromised gas exchange and underlying disease with the potential for worsening respiratory insufficiency who require frequent observation and/or continuous positive airway pressure.
3. Patients who require frequent vital signs or aggressive pulmonary physiotherapy.

C. Neurologic Disorders
1. Patients with established, stable stroke who require frequent neurologic assessments, frequent suctioning or turning.
2. Patients with chronic but stable neurologic disorders who require frequent nursing interventions.

D. Gastrointestinal Disorders
1. GI bleeding with minimal orthostatic hypotension responsive to fluid therapy.
2. Variceal bleeding without evidence of bright red blood by gastric aspirate and stable vital signs.
3. Acute liver failure with stable vital signs.

E. Endocrine
1. Diabetic ketoacidosis patients requiring low dose of intravenous infusion of insulin after associated acidosis is resolved.
2. Hyperosmolar state with resolution of coma.

F. Surgical
1. The postoperative patient who, following major surgery, is hemodynamically stable but may require fluid resuscitation and transfusion due to major fluid shifts.
2. The postoperative patient who requires close nurse monitoring during the first 24 hours.

II. Patients who are NOT appropriate for admission to Intermediate Care include:
A. Complicated acute myocardial infarction with temporary pacemaker, angina, hemodynamic instability, significant pulmonary edema or significant ventricular dysrhythmias.
B. Patients requiring heavy nursing loads and titrated patient care of 12 to 24 hours/day
C. Patients with acute respiratory failure who are recently intubated or at imminent risk of requiring intubation.
D. Patients requiring invasive hemodynamic monitoring with a pulmonary artery, left atrial or arterial catheter.
E. Patients in status epilepticus
F. Patients with catastrophic brain illness or injury who are not to be resuscitated and are not candidates for organ donation.
G. Patients from whom aggressive modalities of care are being withheld or have been withdrawn, such that they are receiving comfort only measures.

III. Discharge Criteria: Discharge of patients from the intermediate care unit shall take place:
A. When the patient’s physiologic status has stabilized and the need for intensive patient monitoring is no longer necessary and the patient can be cared for on a medical/surgical unit.
B. When a patient’s physiological status has deteriorated and active life support is required or highly likely, the patient will be transferred to the critical care unit.
C. Patient’s whose physiological status has deteriorated and aggressive modalities are being withheld/withdrawn as directed by the patient, family, or physician such that they are receiving comfort only measures.

Position Details

POSTED:

Aug 02, 2021

EMPLOYMENT:

INDUSTRY:

Health Care

SNAPRECRUIT ID:

S162048605937748

LOCATION:

Oklahoma / United States

CITY:

Ardmore

Job Origin:

Jobsrus_organic_feed

A job sourcing event
In Dallas Fort Worth
Aug 19, 2017 9am-6pm
All job seekers welcome!

RN - Intermediate Care Unit    Apply

Click on the below icons to share this job to Linkedin, Twitter!

RN- Intermediate Care Unit
Pay Rate: $64.29/HR
Experience: 2+ years in Stepdown

Cortech is seeking an Intermediate Care Unit RN for our client in Ardmore, OK.

Education: BSN preferred (not required) To define the admitting and discharge criteria of patient in the Intermediate Care Unit. Patients appropriate for admission to the Intermediate Care Unit are those whom require frequent monitoring of vital signs and/or nursing interventions, but do not require invasive monitoring. I. Admission Criteria – the following are guidelines with some examples of specific conditions or diseases that may qualify for intermediate care.

A. Cardiac System
1. Hemodynamically stable myocardial infarction
2. Hemodynamically stable dysrhythmias
3. Mild-to-moderate congestive heart failure without shock 4. Hypertensive urgency without evidence of end-organ damage.
5. Patients requiring non-titrating vasoactive medications, physician specifically guides all titration. (low dose Dopamine, Dobutamine, Cardizem)

B. Pulmonary System
1. Medically stable ventilator patients for long-term weaning and chronic care.
2. Hemodynamically stable patients with evidence of compromised gas exchange and underlying disease with the potential for worsening respiratory insufficiency who require frequent observation and/or continuous positive airway pressure.
3. Patients who require frequent vital signs or aggressive pulmonary physiotherapy.

C. Neurologic Disorders
1. Patients with established, stable stroke who require frequent neurologic assessments, frequent suctioning or turning.
2. Patients with chronic but stable neurologic disorders who require frequent nursing interventions.

D. Gastrointestinal Disorders
1. GI bleeding with minimal orthostatic hypotension responsive to fluid therapy.
2. Variceal bleeding without evidence of bright red blood by gastric aspirate and stable vital signs.
3. Acute liver failure with stable vital signs.

E. Endocrine
1. Diabetic ketoacidosis patients requiring low dose of intravenous infusion of insulin after associated acidosis is resolved.
2. Hyperosmolar state with resolution of coma.

F. Surgical
1. The postoperative patient who, following major surgery, is hemodynamically stable but may require fluid resuscitation and transfusion due to major fluid shifts.
2. The postoperative patient who requires close nurse monitoring during the first 24 hours.

II. Patients who are NOT appropriate for admission to Intermediate Care include:
A. Complicated acute myocardial infarction with temporary pacemaker, angina, hemodynamic instability, significant pulmonary edema or significant ventricular dysrhythmias.
B. Patients requiring heavy nursing loads and titrated patient care of 12 to 24 hours/day
C. Patients with acute respiratory failure who are recently intubated or at imminent risk of requiring intubation.
D. Patients requiring invasive hemodynamic monitoring with a pulmonary artery, left atrial or arterial catheter.
E. Patients in status epilepticus
F. Patients with catastrophic brain illness or injury who are not to be resuscitated and are not candidates for organ donation.
G. Patients from whom aggressive modalities of care are being withheld or have been withdrawn, such that they are receiving comfort only measures.

III. Discharge Criteria: Discharge of patients from the intermediate care unit shall take place:
A. When the patient’s physiologic status has stabilized and the need for intensive patient monitoring is no longer necessary and the patient can be cared for on a medical/surgical unit.
B. When a patient’s physiological status has deteriorated and active life support is required or highly likely, the patient will be transferred to the critical care unit.
C. Patient’s whose physiological status has deteriorated and aggressive modalities are being withheld/withdrawn as directed by the patient, family, or physician such that they are receiving comfort only measures.


Please wait..!!