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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