Stepdown

LICENSE

HITS MUST BE DISCLOSED AT

TIME OF SUBMISSIONCOVID VACCINE REQUIRED: Fully vaccinated means either 2 shots of Moderna or Pfizer or 1 shot of J&J; If a traveler wants to decline based on a Medical or Religious reason, please have them fill out the appropriate Exemption Form and email it to the address on the form. These should be done ASAP as they have to go through a council to be approved or deniedEPIC experience requiredUnit10 EAST (Neuro Stepdown & EMU - Epilepsy Monitoring Unit)# of beds31 Total Bed (25 are Stepdown, 6 EMU) Ratios"1:3 for StepdownRockefeller Neuroscience Institute Inpatient Step Down Unit. Nurse:Patient Ratio = 1:31:5-6 for Floor (EMU)"Required Certifications"BLS and NIHSS are required, ACLS preferred

NOTE: This unit would require all Stepdown qualified RN's"Common diagnoses/Types of patientsHigher acuity Neuroscience patients, EVDs (experience preferred; however, perm staff would probably be assigned these patients), TPA (any patient that would be 24 hours post TPA would be managed by perm staff only), Strokes, EMU, Seizures, Craniotomy'sExperience or 'Must have' skillsNeed to have overall strong Neuro experience, NIHSS in Hand at time of submit, History of caring for stroke patients and implementing NIHAre RNs required to titrate dripsTitration is only done by physician's orders in a step-down setting. There may be some protocols that allow for titration, but they would educate on that. Common titratable &/or set rate dripsAmiodarone, Cardizem, Nitro, dopamine, Nipride, Ketamine, Lasix, Bumex, InsulinCharge Nurse/House SupervisorCharge Nurse 24/7Are there nurse aids on this unit/Ratios"Yes - 4 per shiftRatios 1:8-9"RT Equipment (vents, Cpap, BiPap, etc.)RT is available 24/7 - States they get "floor Vents" - RN's are not required to have vent experience. When there are floor vents they are usually on a set setting. These are managed by RT & physician. If they require changes they will go back to the ICU.Is there tele on this unit Monitor techs RNs read stripsThere is tele on this unit - per notes from facility RN's do not have to read stripsShifts & Scheduling"Nights - 3, 12's from 7p-7:30a They would allow 3 shifts in a row but this is not a guarantee. Travelers need to be flexible. "Weekend RequirementEOW or 2 wknd shifts/schedule Holiday RequirementYes - travelers are expected to work into the holiday rotationIs there a call or standby requirementUnknown Floating RequirementPossibly to 7E, 7W, 7NE, or 10WScrub Color/Dress codeRoyal Blue Unit/Department specific orientation2 shifts on the unit

Cancellation Policy: 2 shifts per 13 week contract

Charting System: EPIC

BSN Required: No

License to Submit: Yes, willing to wait

Trauma Level: Care Setting:Acute Division: Shift Notes:3x12hr nights, holidays and weekends as needed

Required Certifications: BLS Certification,

NIHSS :91