RN - MedSurg/Tele

**This unit is transitioning to a Progressive Unit.  Traveler will need to be comfortable with that population & able to titrate drips.**

·        457 licensed beds

·        Trauma Level III

·        Teaching Hospital

·        Chest Pain Center

·        Stroke Center of Excellence

·        Bariatric Center of Excellence

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

●        Unit Information:

·        Beds:

▪        14 private rooms - no negative pressure capability

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

·        Will you accept a first-time traveler: No

●        Patient Types/Common Diagnoses:

·        Transitioning this Summer from Med/Tele to PCU focus

·        Heart Failure, Chest pain, patient requiring fluid resuscitation/blood products, COPD, Cardiac Cath pre/post

·        Medical overflow

●        Patient Ratios:

·        RN:

▪        1:4-6, acuity dependent – surge times could increase to 1:7-8 (MedSurg/Tele)

▪        1:4 (PCU)

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

·         RN:  BLS, ACLS, NIHSS

●        Skills required:

·        PIV starts, NG Tube placement/management, Pleurx drains, management of various surgical drains, chest tube management,  cardiac rhythm interpretation , non-titratable cardiac drips,  TR bands etc.

●        Support within the Department:

·        CNA’s - assist nursing team to provide ADL’s, bathing, foley care, mobility, turning and repositioning, trained to do phlebotomy, 12 lead EKGs, Glucometer

·        Receptionist/HUC? None

·        Charge nurse – may or may not have patient assignment

·        Phlebotomy? Combined effort between RNs, CNA’s, IV team

·        IV/VAT Team? yes

·        Resource Nurse - - when staffing allows

·        RT 24/7 - assigned to multiple units

·        Hospitalist 24/7? Yes, not unit based

·        Telemetry monitoring - If tele ordered, our patients are remotely monitored in off unit arrhythmia center but Nurses station has visual capability to see EKG’s

●        Technology/Equipment:

·        EMR: Epic

·        IV Pump: Alaris

·        Med dispensing: Omnicell

·        Monitors: Phillips

·        Unit specific equipment: Bladder scanner, EKG machine, transport monitor

·        Patient Safety Net

●        Floating:

·        Within region and scope of practice

·         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

●        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: 0645-1915 and 1845- 0715

·        Schedule cycle: every 6 weeks

●        Other notes:

·        Scrub Color: Navy

·        Parking: Free

·        Unit Culture: Professional, Team oriented