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Cardiac Step Down - Graduate Nurse

UMC Health System

Lubbock, TX
Job Code:
  • Healthcare
UMC Health System
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Job Details

Title: Cardiac Step Down - Graduate Nurse
JobID: 5782
  • Graduate Nurse (GN)
    5 East - Intermediate Critical Care Unit (ICCU)
    Job Location: Lubbock, TX
    Shift:  7p-7a
    Status: Full Time
    Hours per Pay-period: 72
  • Description
    The ICCU is a 28-bed intermediate critical care inpatient unit that provides nursing care for adolescent, adult, and geriatric patients. The goal of this unit is to provide high quality care to patients no longer requiring critical care, but requiring a higher level of care than can be provided on the medical floors. The ICCU serves as a step down unit for the Cardiac Intensive Care, Medical Intensive Care, and Surgical Intensive Care Units. The nursing care delivery model is Primary Care Nursing. The nurse-to-patient ratio is a goal of 3-4 patients per 1 nurse. This can be adjusted by the charge nurse according to patient and staffing needs. This delivery care model dictates that the ideal candidate must be able to coordinate needed patient care with all disciplines. The ideal candidate must be able to make the education of patients and families a top priority. Floating to other units does not occur.
    Admission criteriato the ICCU is determined by, but not limited to, the following guidelines:
    ·         Patients recovering from Acute MI
    ·         Patients with hemodynamically stable dysrhythmias that can be monitored by telemetry or bedside monitor
    ·         Patients with Unstable Angina or CHF
    ·         PCI with sheath
    ·         Patients post pacemaker insertion or generator change
    ·         Patients with two or less of the following IV medications: Lidocaine, Amiodarone, Cardizem, Heparin, Dobutamine, Nitroglycerin, Integrellin, Cardene, Hypertonic Saline
    ·         Acute GI bleed controlled with intervention and hemodynamically stable
    ·         Patients requiring CPAP, BiPAP, or mechanical ventilation who are medically stable
    ·         Hypercapnia with pH > 7.2
    ·         Patients recovering from coronary angiogram that do not require thrombolytics
    ·         Patients requiring continuous telemetry monitoring
    ·         Patients awaiting arterial access discontinuation
    ·         Patients requiring high flow oxygen
    ·         Patients requiring nursing interventions every 2 hours for <8 hours (pulse ox, neuro checks, complex wound care, glucose monitoring); vital signs hourly for up to 4 hours
    A multi-disciplinary approach to nursing care is utilized on the ICCU. Patient care providers will include Registered Nurses, Licensed Vocational Nurses, Nurse Assistants/Patient Care Assistants, Respiratory Therapists, Occupational Therapists, Physical Therapists, Pharmacists, Social Services, Case Managers, and Nursing Support Services.
    ·         UMC General Hospital Orientation
    ·         UMC General Nursing Orientation
    ·         Electronic Documentation training
    Individualized Unit Specific Orientation
    ·         Unit specific orientation is in addition to UMC’s General Hospital Orientation and General Nursing Orientation
    ·         During clinical orientation you will be paired with an experienced nurse preceptor.  The preceptor is chosen to best fit your personality and learning style. Together, they take one set of patients and work as a team to obtain the best experience for the new employee
    ·         Orientation length is individually based and will be determined by the preceptor, preceptee, and Clinical Instructor
    ·         The Graduate Nurse can expect rotations with the monitor tech room, Cardiac Cath Lab, with the Charge Nurse and Health Unit Coordinator, as well as attending critical care classes during the orientation period
    ·         Clinical orientation will begin on day shift to maximize your exposure to procedures and physician rounding 
    ·         You will also have many opportunities for professional growth and advancement
    ·         PCCN Certification review class is available (free of charge) after 1 year of employment
    ·         Committee involvement is encouraged in order to improve patient care and processes Committees are available at unit level as well as hospital wide 
    ·         Other opportunities include: mentoring and the ability to self schedule to meet individual needs
    ·         Graduation from an accredited School of Nursing
    ·         Valid Texas Graduate Nurse Permit required
    ·         Current CPR certification from American Heart Association
    ·         ACLS will be required once employment started (class will be provided if not certified)
    ·         Customer service abilities including effective listening skills
    ·         Critical thinking skills, decisive judgment and the ability to multi-task in a fast paced environment
    ·         Ability to perform work that requires walking, sitting and standing most of the time while on duty. Occasional lifting or patients with assistance is required
    ·         Full-time benefit package inclusive of health and dental coverage
    ·         Competitive compensation based on education and experience
    ·         Relocation assistance package if relocating > 75 miles / To reside in Lubbock, Texas
    ·         Educational Reimbursement for BSN / MSN
    ·         Eligible for overtime pay after 40 hours per week
    ·         Eligible for yearly annual increase
    ·         Eligible for Career Ladder after 12 months
    ·         Uniform Payroll deduction
    ·         Certification Exam reimbursement
    ·         Long Term Disability/Group Life Insurance/Group Dependent Life Insurance
    ·         Vision Insurance
    ·         Tax Sheltered Annuity Program
    ·         Supplemental Insurance Programs
    ·         Healthcare and Dependent care spending accounts
    ·         PTO and Extended Illness
    UMC Health System is the leader in comprehensive healthcare delivery in West Texas and Eastern New Mexico. More than 300,000 patients a year have come to expect our dedication to service and the top-tier care we provide.  UMC Health System employs almost 3,000 people. The system has been honoured among the Best Places to Work in Texas. We pride ourselves with having one of the highest employee satisfaction rates in the nation. Through UMC’s partnership with Texas Tech University, the health system produces ground-breaking research and innovative technology, including a number of nationally recognized clinical trials in breast and prostate cancers. Patients of the Southwest Cancer Treatment and Research Center are treated with the most modern medical systems available.  Since opening in 1978, UMC has been the first to offer lifesaving services to the region.
    ·         UMC's Children's Hospital was the first to have neonatal and pediatric intensive care units 
    ·         UMC maintains the region’s only Level I Trauma Center 
    ·         UMC's Timothy J. Harnar Regional Burn Center is the burn center between Dallas and Phoenix 
    We hope you will choose UMC Health System, where “Service is Our Passion.”

Job Type: Full time
Category: Nursing
Apply on the Company Site
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