*61/hrJob Title:* *RN Medsurg *

*Location:* Middleburg Heights, OH 44130

*Duration:* 13 weeks

*Pay Rate: *$54-$61/hr

*Scheduled Notes: *Straight Nights 7P-7:30A EOW and Holiday

*Required:*
* Min 1 year experience in Cardiac step-down units
* Straight Days 7A-7:30P EOW and Holiday
* Current license by the Ohio State Board of Nursing
* BLS, ACLS required

*Job Duties:*
The Cardiac Stepdown RN is responsible for monitoring vital signs, administering medications, managing cardiac devices, and collaborating with the healthcare team to ensure optimal recovery and patient outcomes.

*Must be proficient in the following Skills:*

* *ABG interpretation*
* *NIV management*
* *Cardiac Cath recovery*
* *Tikosyn administration*
* *Cardizem titration*



*Key Responsibilities:*
* *Cardiac Monitoring and Assessment:*
* Continuously monitor patients’ cardiovascular status, including heart rate, blood pressure, rhythm, and oxygen saturation, using telemetry or other monitoring devices.
* Assess for signs of cardiac complications, such as arrhythmias, ischemia, heart failure, or myocardial infarction, and respond appropriately.
* Regularly evaluate patients’ overall health, including fluid balance, respiratory function, and vital signs.
* Conduct thorough assessments of patients’ response to cardiac treatments and interventions.
* *Medication Administration and Management:*
* Administer prescribed medications, including antiarrhythmics, anticoagulants, pain management, and other cardiac medications.
* Monitor for adverse reactions to medications, such as hypotension, bradycardia, or bleeding, and adjust care accordingly.
* Ensure accurate administration of IV medications, including drips for cardiac support (e.g., vasopressors, antiarrhythmic drugs).
* Educate patients on their medications, including dosages, timing, and potential side effects.
* *Patient Care and Recovery Support:*
* Provide post-surgical and post-procedural care to patients recovering from heart surgeries, stent placements, pacemaker implantation, and other cardiac interventions.
* Assist patients in managing post-operative pain, including administering pain medications and helping with non-pharmacological pain management techniques.
* Monitor for and address common post-cardiac procedure complications, such as bleeding, infection, or graft failure.
* Assess wound sites, including those from catheter insertion, pacemaker implantation, or heart surgery, and provide care as needed.
* *Patient Education:*
* Educate patients and their families on cardiac conditions, medications, lifestyle modifications, and long-term care strategies to prevent further cardiac events.
* Provide guidance on diet, exercise, stress management, and other factors contributing to cardiovascular health.
* Prepare patients for discharge by teaching them about home care needs, follow-up appointments, and when to seek medical attention.
* Address concerns about cardiac rehabilitation and support the transition to outpatient care.
* *Collaboration and Communication:*
* Collaborate with cardiologists, cardiac surgeons, physical therapists, and other healthcare providers to develop and implement comprehensive care plans.
* Communicate effectively with patients, families, and the interdisciplinary team regarding the patient’s progress, treatment plan, and any changes in condition.
* Participate in daily rounds to discuss patient progress, treatment strategies, and next steps in care.
* Document patient care, interventions, and progress in electronic health records (EHRs) in a timely and accurate manner.
* *Emergency Response and Critical Care:*
* Respond to emergent situations such as arrhythmias, cardiac arrest, or respiratory failure by providing immediate interventions like CPR or defibrillation.
* Assist in resuscitation efforts and coordinate with the team to stabilize the patient.
* Monitor and manage patients on life-support equipment (e.g., ventilators, intra-aortic balloon pumps) when necessary.
* *Infection Control and Safety:*
* Follow infection control protocols to prevent hospital-acquired infections, particularly in patients with cardiac devices or post-surgical wounds.
* Ensure patient safety by monitoring for signs of complications such as pressure ulcers, deep vein thrombosis (DVT), and falls.
* Adhere to all safety guidelines for handling medications, equipment, and sterile procedures.

*Qualifications:*
* *Education:*
* Registered Nurse (RN) with a valid state nursing license.
* *Experience:*
* Previous experience in cardiac care, critical care, or telemetry nursing is required
* Experience working with post-cardiac surgery or interventional cardiology patients is beneficial.
* Knowledge of cardiac medications, arrhythmia management, and cardiac monitoring is highly desirable.
* *Certifications and Skills:*
* Basic Life Support (BLS) and Advanced Cardiovascular Life Support (ACLS) certification are required.
* Cardiac nursing certification (e.g., CCRN, CNOR) may be preferred
* Strong clinical assessment and critical thinking skills.
* Proficient in using cardiac monitoring equipment, telemetry, and medical devices.
* Ability to recognize and manage emergency situations with swift decision-making.
* Excellent communication skills for interacting with patients, families, and healthcare teams.

*Working Conditions:*


* The role involves working in a fast-paced environment with fluctuating patient acuity and long shifts, which may include weekends, and holidays.
* Physical demands may include standing or walking for long periods, lifting or assisting patients, and handling medical equipment.
* The nurse may be exposed to infectious diseases, requiring adherence to safety protocols and the use of personal protective equipment (PPE).

RN01

Job Types: Contract, Temporary

Pay: $54.00 - $61.00 per hour

Expected hours: 36 per week

Medical Specialty:
* Medical-Surgical
Physical Setting:
* Acute care
Supplemental Pay:
* Differential pay
* Overtime pay



Experience:
* Medsurg: 1 year (Required)

License/Certification:
* BLS Certification (Required)
* ACLS Certification (Required)

Ability to Commute:
* Middleburg Heights, OH 44130 (Required)

Ability to Relocate:
* Middleburg Heights, OH 44130: Relocate before starting work (Required)

Work Location: In person