Unit 3E Intermediate Care
# Beds 38; all private; all tele-monitored beds
Ratios 1:3-4. Usually 4. Never 5.
Required Certifications ACLS, NIHSS
Common diagnosis / Types of patients Sepsis, COPD/CHF exacerbation, PNA, stroke, post-Covid, respiratory distress, trauma (falls, GSW, MVA), pancreatitis
Experience or ‘Must have’ skills Trach/vent (vent is managed by RT and can be taught on unit), titratable drips (no sedation or pressors), neuro (stroke/TBI/brain bleed/seizure), Optiflow/cont bipap, wound management
Are RN’s required to titrate drips Yes. No sedation or pressors.
Common titratable &/or set rate drips Diltiazem, amiodarone, heparin, nicardipine, aztreonam, Lasix, nitro
Tele/Monitor Techs on this unit? Do RN’s read strips? Tele techs 24/7. RNs do not need to print/analyze strips. Must be able to interpret for documentation.
Charge Nurse/House Supervisor Try to maintain a free charge nurse. NM Mon-Fri, HS after hours and on weekend.
Are there Nurse Aides on this unit/Ratios 3-4 techs/shift. 8-12 patients.
RT/Equipment (ie Cpap, Bipap, High Flow) Cpap, Bipap, Vent, OptiFlow
Shifts & Scheduling: 12 hour shifts; Every other weekend. Flexibility with scheduling is very important. Blocks not guaranteed.
Weekend Requirement EOW
Holiday Requirement May be scheduled as needed.
Call or Standby Requirement No.
Floating Requirements Float in rotation (rare)
Scrub Color/Dress Code No scrub color. Clean and professional.
Unit/Department Specific Orientation (2) 12 hour shifts on unit after 2-day onboarding
Additional Notes Level I trauma center, teaching hospital, quadruple Magnet.
Busy, fast-paced unit. Part of critical care team. Higher acuity than a lot of stepdown/PCU units. Bedside shift report. Excellent unit rapport with travelers. Most travelers extend several times. Unit is <7 years old with large private rooms. Easy to work in from nursing standpoint. Scheduled meds and daily supplies delivered to each patient room.
Additional Questions How many previous travel assignments? (I try to avoid 1st-time travelers as this unit is extremely busy). Telemetry unit experience is generally not adequate. Prefer step-down/IMC or ICU experience.