RN - Med-Surg/Telemetry

About Facility: 301 Yadkin St. Albemarle, NC, 28001

·        109 Licensed Beds

·        No Trauma Designation

·        Not a Teaching Hospital – no residents/students

·        Advanced Primary Stroke Center

·        Radius rule: Traveler’s permanent address must be 50 miles outside of home unit

●       Unit Information:

·        Beds: 27

▪        Census? Average 20

·        Minimum Years of Experience required? 18 months Med/Tele experience

·        Will you accept a first-time traveler? Not preferred, will consider (Resource Team)

●       Patient Types/Common Diagnoses:

·        Stroke, COPD, Chest Pain, Altered Mental Status, GI bleed

●       Patient Ratios:

·        RN: 1:5-6, acuity dependent - (surge staffing could increase ratios up to 1:7-8)

·        LPN: 1:5-6, acuity dependent - (surge staffing could increase ratios up to 1:7-8)

·        CNA: 1:9

●       Required License, National Certification, Certs (BLS, ACLS, etc.), or other position specific requirements such as Driver's License and/or Insurance: 

·        BLS, ACLS, NIHSS

●       Skills required:

·        General Med/Tele skillset : Stroke experience/NIH assessments, Chest tube management, PIV starts, trach care, Cardiac rhythm interpretation, NGT placement, drain/tube management (Dobhoff, PEG tubes, Hemovac, JP drains, flexiseals, foley insertion/management, etc), PCA pumps

·        Medication gtt management to include : Cardiac drips, Heparin, blood products, IVF

●       Support within the Department:

·        CNA? Duties? Yes, CNA’s can insert foleys if certified and remove IV’s for Discharge if certified, in addition to Vitals, ADLs, etc.

·        Receptionist/HUC? Dayshift only

·        Charge nurse – may or may not have patient assignment

·        Phlebotomy, 24/7

·        No designated IV/VAT Team

·        RT, 24/7

·        Hospitalist, 24/7

·        Telemetry monitoring/tech? Yes

●       Technology/Equipment:

·        EMR: Epic

·        IV Pump: Alaris

·        Med dispensing: Omnicell

·        Monitors: Philips

●       Floating: If yes, where?

·        Within region and scope of practice

·        Will be required to float per region needs – will require floating to all facilities listed below, as needed, within scope of practice – DECLINE if not agreeable

▪          Region 1 - Cabarrus, University City, Stanly, Lake Norman, Central Division (CMC Main + Mercy + LCH (peds only) -- could float to any of the facilities within region if the need arises

▪        If floating mid-shift, Traveler will be paid for the time traveling between facilities (will remain on the clock)

●       Orientation (facility and unit) :

·        NEO

·        2 days departmental

●       Scheduling:

·        Weekend rotation: every other

·        No call

·        Holiday Expectations: Travelers will work 75% of holidays

·        RTO: Can approve up to 6 days off, excluding holidays – must add time to the end of the contract if unable to meet contracted hours

·        Shift times: 0700-1900 and 1900-0700

·        Schedule cycle: every 6weeks

●       Other notes:

·        Scrub Color: Navy Blue

·        Parking: Free

·        Unit Culture: Positive, team driven