**Job Title:** Registered Nurse
**Job Specialty:** Step Down
**Job Duration:** 13 Weeks
**Shift:** Night 3x12-Hour (19:00 - 07:30)
**Guaranteed Hours:** Not specified
**Experience:** Not specified
**License:** Valid CA License required at time of submission
**Certifications:** NIH, ACLS, BLS (AHA only)
**Must-Have:**
- Management and interpretation of dysrhythmias
- Care of ventilated patients, tracheostomy management
- Non-titrated management of cardiac drips (Amiodarone, Milrinone, Lasix, Cardizem (titrated), Dopamine, and Dobutamine)
- Insulin 3:1 preferred
- Telemetry experience
**Job Description:**
- Start date on December 10 is required.
- Required 1:3 patient ratio with trachs and ventilator management.
- Experience in telemetry, PCU, DOU, IMC, and step-down units.
- Skills in the management and interpretation of telemetry monitoring are essential.
- The use of Rapid Response Teams and post-MI care experience needed.
- Candidates must handle pre/post hemodialysis management and renal failure cases.
- Expertise in accessing ports, central line and PICC line care and management, as well as starting IVs.
- Competence in managing cardiac and vasoactive drips without titration.
- Duties include care of patients with CVA, chest tubes, and external CPAP/BIPAP usage.
- Familiarity with high flow nasal cannula (HFNC), interpretation of ABGs, oxygen face masks, and non-invasive airway management.
- Implementation of isolation precautions and wound care/wound vac is required.
- Navy scrubs are required but not provided.
- Willingness to float within areas of competency, such as med/surg, tele, and obs.
- Use of the Omnicell medication system and SBAR communication is necessary.
- Provider support includes interpretation services, lift teams, pharmacy, phlebotomy, physical therapy, radiology, rapid response teams, respiratory services, social services, and unit secretary.
- Intensive and hospitalist provider coverage available.
- Prefer candidates with experience in post-cardiac angiogram, IV insulin protocols, titration of insulin drips, titration of cardiac drips, and pre/post neurosurgery.
- Candidates must be available to work a minimum of two weekends per month, with potential for more.
- 24-hour orientation provided.
- Considering first-time travelers with PCU experience handling 1:3-4 ratios.