Progressive Care Nurse Job Description:
Studying patients' charts, medication regimens, and test results upon admittance to the progressive care unit.
Tracking routine vital signs, including heart rate, blood pressure, and pulse oximetry measurements.
Interpreting measurements from specialized medical equipment.
Monitoring and administering prescribed medication, as well as performing titration of drug doses.
Performing diagnostic assessments on changes in measurements, as well as designated interventions.
Reporting deteriorating conditions to healthcare specialists and following intervention instructions.
Updating and maintaining ward charts, patient files, and medical records.
Overseeing Progressive Care Unit nursing assistants and support staff.
Explaining treatments and procedures to patients and their families, as well as answering questions.

Typically 1:4 ratio; flex to 1:5 ratio in emergencies.
Please limit holiday RTO requests to no more than 2 of the 4 major holidays.
Possible extension: Yes.
Skills required: IV start, telemetry.
Experience required: 1.5-2+ years.
Additional requirements: 1 year of experience MS/Tele and 2 years of experience in Stepdown; must be able to read strips.
Unit Info: there are a number of their SDU patients that would be Progressive Care or Tele patients in a larger facility. The acuity will vary.
Travel experience: Not required.
Blocked schedules will be considered, but only weekend blocks (Fri, Sat, Sun or Sat, Sun, Mon).
Scrubs provided: No, burgundy and/or white.
EMR: Cerner.
COVID-19 Vaccine: Not Required.
Flu Vaccine: Required - Medical Exemptions Only.
Patient Age Groups: Adults, Geriatrics.
Daily Census: 34.
Number of Rooms: 36.
Number of Beds: 36.
Interdisciplinary Support:
• IV Teams
• Physical Therapy
• Respiratory Services
• Phlebotomy
• Radiology
• Social Services
• Rapid Response Teams
• Pharmacy
• Transportation
• Unit Secretary
Patient Diagnoses: Most patients are cardiac. Cardiac surgery or interventional cardiology procedures. Also have other med/surg and medical patients.
Skills:
• Blood Product Administration
• Cardiac Telemetry
• Central line care/management
• Chest tubes-Emerson/PleurEvac*
• CVA (Cerebrovascular Accident)*
• External CPAP/BIPAP
• Feeding tube care and management*
• Heparin Protocols
• Interpretation of Arterial Blood Gases (ABGs)*
• Interpretation of dysrhythmias
• Isolation Precautions
• IV insulin protocols
• Manage Cardiac drips- no titration
• Manage Vasoactive drips-no titration
• Management of dysrhythmias
• Nasal Cannula
• Non-invasive airway management
• Ortho trauma*
• Oxygen administration
• Oxygen tanks
• PCA*
• PCU/DOU/IMC/Stepdown
• Peripheral Line Care/Management
• Phlebotomy*
• PICC line management
• Post MI
• Pre/Post Cardiac Cath
• Pre/Post Cardiac Surgery
• Pre/Post Hemodialysis Management*
• Procedural Sedation Administration/Monitoring*
• Sheath Removal*
• Starting and maintaining IVs
• Surgical drains*
• Telemetry
• Telemetry -on the unit monitoring*
• Telemetry- remote monitoring*
• Titrate Cardiac drips
• Titrate Vasoactive drips*
• Titration of Insulin drips*
• TR Band*
• Tracheostomy care/management*
• Use of Rapid Response/Code teams
• Wound Care/Wound Vac*
Minimum 2 YEARS RN EXPERIENCE required.
Candidates must have perm address greater than 100 miles from facility to submit! Facility will consider between 75 to 100 miles on a case-by-case basis. Rate will be the same.
Minimum 2 Manager or Charge References within the past 2 years.
Certifications should be listed on application at time of submittal.
BLS, ACLS, PALS Certifications must be via American Heart Association, if the Certification is required by the unit.
Any previous probationary actions on license will be considered on case-by-case basis.
Perm employees CANNOT RETURN AS TRAVELERS FOR 2 YEARS AFTER LAST DATE WORKED PERM.
Current Vandalia Health System employees: please note, if candidate is currently employed at any Vandalia Health System facility (CAMC Health Systems, Mon Health Systems, Davis Medical Center, Broaddus Hospital, Webster Memorial Hospital, Grafton City Hospital, Highland-Clarksburg Hospital, Minnie Hamilton Health System) working as perm, PRN, etc. they will not be eligible for a travel contract at this facility. This is a Health System policy that was set in place when the above health systems merged into Vandalia Health.
FULL FILE IS DUE NOON MONDAY PRIOR TO START. Insufficient documentation will result in a 2-week push.
Orientation is every other Thursday.
Modules:
• Modules are non-billable, average 8 hours spent on modules
• Modules are completed prior to start and are not included in the 16 hrs of NBO, and modules do not vary by specialty
• Modules are recorded on a transcript and monitored by the compliance team, who reports modules completion to the facility