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Covenant HealthPosted 1 week ago

Day Shift RN for PCU

$76,669–$105,581 year

On-siteNashua, New Hampshire, United States

Full TimeLicense Or CertificationEnterprise

Job Summary

Conduct professional nursing care for critically ill patients in the PCU, responding quickly to monitoring alarms and managing down-time protocols. Perform hourly rounding with LNAs, complete comprehensive clinical documentation in the EHR, and provide emotional support to patients and families. Execute triage, focused assessments, and protocol orders for the Emergency Department, while assisting with complex cardiac procedures, equipment setup, and sterile field maintenance in the Cath Lab. Administer procedural sedation, monitor hemodynamic waveforms, and safely remove arterial and venous sheaths. Collaborate with providers and unit committees to improve patient safety and throughput, maintaining HIPAA compliance and participating in shared governance.

Required Qualifications

  • Current New Hampshire RN license
  • Graduate of an approved Nursing program
  • 3-5 Years Critical Care Experience
  • ASN
  • BSN
  • BLS
  • ACLS
  • PALS
  • TNCC
  • TCAR
  • CPI training
  • CPI advanced training
  • Membership in a professional organization
  • Ability to safely administer procedural sedation
  • Pass annual sedation examination
  • Demonstrates the ability to correctly identify periprocedural safety issues
  • Demonstrates clinical expertise in creating and maintaining a sterile field
  • Plans and provides equipment and supplies based on procedure and physician needs
  • Ability to be within 30-minute radius when on call
  • Ability to learn complex technologies effectively
  • Experience with complex/critical care medication infusions, including titration management
  • Enhanced knowledge of anatomy and physiology, especially cardiac
  • Experience with emergency cardiac interventions
  • Provides in-depth history and medication review (pre-admission testing) of all patients scheduled for procedures
  • Demonstrates the ability to identify criteria for equipment including Intra-Aortic Balloon Pump (IABP), IMPELLA etc
  • Assist MD with set up, insertion and maintenance of equipment
  • Assist with insertion of Flow wire, Opsens and IVUS
  • Demonstrates contraindications and reversal for IV adenosine infusion
  • Demonstrates a working knowledge of hemodynamic waveforms
  • Obtains the ability to monitor arterial waveform during left heart catheterization
  • Able to identify damping and ventriculization of arterial waveforms
  • Able to correctly identify different hemodynamic waveforms during right heart catheterizations
  • Call shifts required for Cath Lab and Stress Lab
  • CPI training preferred or obtained within 6 months of hire
  • CPI advanced training for the ED and ICU within 6 months of hire
  • Required prior to completion of orientation
  • Required prior to assuming care for critically ill pediatric patient for Emergency Department
  • Required within 18 months of hire for the Emergency Department
  • Required within 1 year of hire for the ICU and PACU
  • Required prior to completion of orientation for Urgent Care, and PACU
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