Registered Nurse Cardiac Pcu

Job Summary:

The Registered Nurse in the Cardiac Progressive Care Unit (PCU) is responsible for providing specialized nursing care to patients with cardiac conditions including myocardial infarction, post open-heart surgery, vascular surgery, and stroke with cardiac involvement. This role requires expertise in telemetry, vascular access management, and advanced cardiac life support. The nurse will perform patient assessments, administer treatments, manage telemetry data, and collaborate with interdisciplinary teams to ensure optimal patient outcomes in a fast-paced, critical care environment.

• Provide skilled nursing care to patients with cardiac and vascular conditions including pre/post open-heart surgery, myocardial infarction, and stroke with cardiac involvement.
• Manage telemetry monitoring and interpret dysrhythmias for timely intervention.
• Administer medications, blood products, and advanced cardiac treatments including cardioversion, defibrillation, and epicardial pacer management.
• Perform vascular access care including radial band management and chest tube setup and care.
• Provide care and monitoring for patients with specialized structural heart support devices such as LVAD and TAVR.
• Collaborate with interdisciplinary teams for treatment planning and patient care coordination.
• Maintain accurate documentation using Epic electronic medical records system.
• Float to related units as required, demonstrating flexibility in patient care assignments.
• Ensure adherence to sternal precautions and respiratory support protocols including CPAP/BiPAP and tracheostomy care.

• Minimum 2-3 years telemetry experience with surgical tele, open heart surgery, and vascular patient care.
• Active Registered Nurse license with eligibility for compact licensing.
• Certifications: ACLS, BLS, NIHSS.
• Proficiency in Epic electronic medical records system (hard stop requirement).
• Strong IV skills and experience with radial band management.
• Ability to interpret telemetry and manage dysrhythmias.
• Experience with blood and blood product administration.

• Experience with VAD (ventricular assist devices) and TAVR (transcatheter aortic valve replacement).
• Familiarity with chest tube management and sternal precautions.
• Experience caring for patients post cath lab interventions.

• Floating to like units is required; flexibility is essential.
• Every other weekend work is mandatory.
• Patient-to-nurse ratio typically 1:4, may increase to 1:5 during midnight shifts.
• Travel contract eligibility requires separation from other providence facilities for at least 3 months unless holding an active compact license.

• Shift assignments include day and night shifts as determined by unit needs.
• Work schedule includes mandatory every other weekend coverage.
• Shift flexibility required due to floating and patient care demands.