Med-Surg Telemetry Registered Nurse

Job Description

Job Description

Title: Med-Surg Telemetry Registered Nurse

Location: Milwaukee Wisconsin 53215

Duration: 13 Weeks Shift: 12hr Night Shift (36) Shift Information: 1900-0730 Clinical Interviewing- yes On Call, Call Back Requirements: No On call requirement Weekend Rotation: every other weekend rotation Holiday Requirements: one holiday per contract. Floating Requirements : yes
About Facility

• Level III Trauma Center
• Level III NICU
• Magnet Designation
• Comprehensive Stroke Center
• Beds: 933

General Information

• Beds: 24 private rooms (4 rooms are for ventilators)

Experience: 2 years

• First-time traveler: NO

Patient Types:

• Medical: COPD, chest pain, post cardiac cath (recovered in another unit first), COVID, DM, cellulitis, chronic trachs, wounds, ventilators, surgicals, heart failure
  • Average LOS: 5-10 days
• Surgical: laps, no big surgeries
• Vented patients: travelers will care for vented patients- will receive a 2-3hr vent class. RNs only manage the patient, RT manages the vent.

Patient Ratios:

• RN:
• Day/Eves: 1:4-5
• Night: 1:6-7
• Tech:
  • Day: 1:6
  • Nights: 1:8

Required Certifications:

• RN: BLS

Skills required

• Wound care required, Surgical/post-op care, IV start skills, Wound vacs, PEG tubes, tube feedings, TPN required, trach care (trachs common on this unit)
• Vent experience required, however there is a class available (3hr class taught by RT, will receive an additional 12hrs of orientation with just vent patients; patients may include but not limited to pts with hypoxic brain injury on a chronic ventilator waiting for placement; max of 4 pts on vents out of 24 beds) THIS MUST BE AN EXPECTATION OF TRAVELERS BEFORE THEY ARRIVE. Please ensure that the traveler has experience with vents and is comfortable with them
• Must have charge experience and is willing and comfortable performing these duties
• Telemetry required

Support on the Unit:

• Charge nurse: light patient assignment if staffing allows
• Unit secretary, 24/7
• Hospitalist, 24/7
• RT, 24/7
• Centralized telemetry monitoring
• Phlebotomy to assist with peripheral blood draws
• IV/VAD team central lines
  • Techs are able to do glucose, vitals, remove IVs

Charting System/Equipment:

• EPIC required
• Alaris
• Pyxis
• Client monitors

Floating:

• all other MSU
• ED holding 1:4 ratio
• Travelers first to float

Orientation

• NEO: Epic orientation, badge, log in access
• 12 hr orientation with charge nurse
  • Will assist CRN s patient assignment

Scheduling:

• Schedule made 6 week at a time, receive 2 week prior
• Weekend rotation: every other
• RTO: Email all RTO to NM Raquel Gonzalez
• On Call: None
• Holiday Expectations: One holiday per contract
• AAH adheres to a fatigue policy where all staff, including travelers, cannot work more than 60 hours in a week or 5 consecutive 12 hour shifts

Other notes:

• Scrub Color: Any - no camo/denim
• Must document pain level, before and after (1 hour) giving pain medications - The pain score must also meet the pain score with nth medication order i.e. if a patient has a score of 8, the RN cannot give the Tylenol that is ordered for mild 1-3. The RN must call for an order if the patient wants Tylenol for the score of 8.
• Parking: Main Structure is free
• Culture: Fast paced, high acuity, amazing staff culture, highly interactive team members with great communication and team work ['2 years experience as RN Telemetry', 'Able to read and interpret rhythm strips, manage central lines, start IVs and draw blood. Able to titrate the following drips: cardizem, heparin, and insulin.', 'a charge nurse', 'Chest tubes, drains, traches', 'Expert: Tracheostomy Management', 'high acuity experience', 'TPN', 'Ventilator'] Shift: ['2 years experience as RN Telemetry', 'Able to read and interpret rhythm strips, manage central lines, start IVs and draw blood. Able to titrate the following drips: cardizem, heparin, and insulin.', 'a charge nurse', 'Chest tubes, drains, traches', 'Expert: Tracheostomy Management', 'high acuity experience', 'TPN', 'Ventilator']
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