DescriptionHarrington Heart and Vascular Institute Acute Care New Grad RN Float Position
Got a big heart and want to work with one of the best cardiovascular programs in the greater Cleveland area? Then join us at University Hospitals Cleveland Medical Center Harrington Heart and Vascular Institute for a new graduate position in the newly piloted float pool. Harrington Heart and Vascular Institute in-patient closed unit structure creates a 90 bed staffing model consisting of 3 specialized cardiac/thoracic units: Lerner Tower 3, Lerner Tower 5, and Lerner Tower 7. All divisions are 30 bed units featuring 5 lead continuous cardiac monitoring with future expansion of 9 of these beds functioning as a Stepdown Unit.
Lerner Tower 3 Cardiac and Pulmonary Surgical Stepdown
Primary focus: Cardiac and Thoracic Surgical Recovery
Postop open heart surgery: Nursing care focusing on pain management, mobility, and pulmonary toileting. Chest tube drains may be present, and equipment like temporary pacemakers is common.
Transplant: Lerner Tower 3 SDU cares for Heart and Lung transplant patients once they are surgical stable and able to leave the ICU setting.
Thoracic surgery: Primarily done to remove masses, fluid, or air from the pleural space. Includes lung resections and esophagostomies that are stabilized in the TSICU. Care is focused on pain management, mobility, and pulmonary toileting. Chest tube drains are very common, and tube feeding is often seen in the post esophagectomy patient.
Stepdown Focus (9 beds): High level, frequent assessment and monitoring currently performed in the CTICU such as arterial pressures, swan lines, post open heart procedures, and titration of drips. Coming in November 2022.
Lerner Tower 5 Cardiac Medical-Surgical Stepdown
Primary focus: Medical management of high-risk cardiac conditions.
Specialties include: Initiation, dose adjustment and symptom management of anti-dysrhythmic medications such as Tikosyn; management of pre and post cardiac invasive procedures such as EP studies, pacemaker insertions and heart stenting; care of acute and chronic heart failure; symptom management of advanced staged pulmonary hypertension; pre and post heart transplant care, and the care of ventricular assistive devices (VADs).
Stepdown Focus (9 beds): High level, frequent assessment and monitoring currently performed in the CICU such as arterial pressures, swan lines, post TAVR procedures, and titration of drips. Opening November 2022.
Lerner Tower 7 Interventional Cardiology and Vascular Unit
Cardiovascular unit specializing in:
Vascular Surgery, Electrophysiology procedures, Interventional Cardiology, Hospitalist and Neurology patients. As part of the Harrington Heart and Vascular Institute and Neurological Institute, we are proud to be the designated unit caring for patients with vascular, cardiac and neurological diseases.
Common patient diagnoses include carotid endarterectomy, carotid artery stenting, cardiac catheterization, Transcatheter Aortic Valve Replacement (TAVR), afib ablation, aneurysm repair, stroke, ALS and autonomic disorders.
Future expansion planned in 2023 to include a stepdown unit of 9 beds. Description of services and full scope of unit is still in the developmental phase.
Benefits of the Position
Closed Unit Structure – important because candidates will primarily float within 3 cardiovascular units that share similarities but with different specialties (i.e telemetry, cardiovascular focused, etc.). This can decrease anxiety associated with the “unknown float” where units are not defined and an employee can be asked to float anywhere in Acute Care.
Work Experience – Floating within this structure leads to a broader development of cardiovascular nursing skill by having exposure to cardiac, thoracic, and vascular surgeries while also developing skills in chronic cardiac and pulmonary issues such as heart failure and pulmonary hypertension.
Institution of the Stepdown Units – With patients becoming sicker and ICU bed availability at a premium at main campus, the concept of the stepdown was born. The care that will be provided in these units is currently being delivered in the ICU so it is not truly a stepdown in acuity but the opportunity to expand ICU level care within the inpatient setting.
Incorporation of skills as an ICU and Acute Care: Many of the best ICU nurses developed their skills on an acute care floor before they transitioned. However this role offers all new floats the opportunity to learn aspects of the acute care divisions, as well as ICU skills on the stepdown units.
Flexible Scheduling: 12 hour shifts with the option for set weekend or choose 6 weekend shifts to work during a 6 week period. Also open to employee chosen rotation schedules provided 3 weeks nights and 3 weeks days are met. One popular model is doing 3 weeks of nights at the end of the schedule and then 3 weeks to begin the next schedule. This way it was 6 weeks of a straight shift over 2 schedules. Can also discuss other scheduling options to keep the position attractive.
Holiday Requirements: 1 winter and 1 summer holiday of employee’s choosing.
Be sure to ask your recruiter about the $15,000 New Grad RN Loan Repayment Program, competitive shift differentials and the $3,000 sign on bonus!
Description Section:
Provides safe efficient age specific nursing care to patients/families using the nursing process in order to assist them to attain, maintain, regain, and sustain optimal health status. Dimensions are:
- Implements the nursing process by delivering effective relationship based nursing care.
- Demonstrates technical skills in care delivery that result in safe practice and positive care outcomes.
- Demonstrates clear communication and effective collaboration to optimize patient care and clinical operations.
- Develops self and contributes to the professional practice of nursing.
- Displays leadership that influences optimal clinical and operational outcomes.
- Displays the mission of the hospital and its values.
