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University Hospitals Health System Registered Nurse Level 1.UHC Lerner 5-25490 in Cleveland, Ohio

Description Harrington 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. Below is a description of the specialized populations on each of the units: 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

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