RN - MedSurg/Tele

RN - MedSurg/Tele
• About Facility:
• Charlotte, NC
• 207 licensed beds
• No Trauma Designation
• Not a Teaching Hospital
• Chest Pain Center
• Stroke Center
• Radius rule: Traveler's permanent address must be 50 miles outside of home unit
• Unit Information:
• Beds: Will vary based on unit
• Minimum Years of Experience required: 18 months Med/Tele RN (Resource Team requirement)
• Will you accept a first-time traveler: Not preferred but will consider
• Patient Types/Common Diagnoses:

o Will be assigned a home unit on the first day of orientation

ADTU
• 12 Beds
• Patient Types : Med/Tele Overflow area to support all inpatient units/ED holding; Diagnoses include but are not limited to: CHF, COPD, Chest Pain workup, Stroke s/s, Respiratory issues, etc.; Testing is prioritized

7North/South Ortho Surgical
• 48 Beds
• Patient Types : General Medical Overflow; Surgical Patients - Include, but are not limited to: total joint replacements (knees, hips, shoulders), spinal surgery (laminectomies, discectomies, fusions), shoulder procedures, etc.
• Additional Skills Required: Ortho Experience; Spinal precautions

6S Medical Telemetry
• 34 Beds
• Patient Types : COPD, Respiratory illnesses, Diabetic Ulcer, Abdominal pain, Pancreatitis, Altered Mental Status, ESRD, etc.

5N Surgical Telemetry
• 26 Beds
• Patient Types : General Medical Telemetry Overflow; Surgical Patients - Bariatric weight loss surgery, Urology procedures, General post op, Abdominal surgeries - GI bleed, small bowel obstruction, foot and ankle surgery

4N Cardiac Medical Telemetry
• 29 Beds
• Patient Types : Include, but are not limited to: congestive heart failure, pulmonary edema, hypertension, stroke, cardiac arrhythmias, endocarditis, and initial cardiac work up for chest pain and/or shortness of breath. Initial cardiac work up typically includes prepping patients for cardiac stress test
• Medical Telemetry

3N Medical Telemetry
• 31 Beds
• Patient Types: End Stage Renal; PD; Fluid overload; Sickle cell; DM; Altered mental status; Cellulitis; Diabetic ulcers; Pancreatitis; Behavioral health

2N Medical
• Beds: 16 beds are Med/Tele Obs; 11 beds are Horizons Detox unit
• Patient Types: New diagnosis DM, Chest Pain, R/O stroke, Abdominal pain, GI bleed, Detox, Suicidal Ideation, Altered Mental Status
• Patient Ratios:
• RN: 1:5-6 (critical surge 1:7-8)
• CNA: 1:6-12
• Required Licensure & Certifications:
• BLS, ACLS, NIHSS (Resource Team requirement)
• Skills required:
• The only unit with additional skills needed is 7N/S Ortho - see above
• General Med/Tele skillset: Stroke experience, cardiac rhythm interpretation, trach care, PIV starts, chest tube management, 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
• Receptionist/HUC
• Charge nurse - may or may not have patients
• Phlebotomy - peripheral blood draws
• IV/VAT Team: 11a-7p, 11p-7a
• Resource Nurse - as staffing allows
• RT, 24/7
• Hospitalist, 24/7
• Intensivist - ICU provider in house until 11p M-F, till 7p Sat/Sun, VCC coverage and on call Intensivist
• Telemetry monitoring/tech? no
• Technology/Equipment:
• EMR: Epic
• IV Pump: Alaris
• Med dispensing: Omnicell
• Monitors: Phillips
• Floating: If yes, where?
• All units within scope at Mercy
• 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
• Please see job posting for dedicated region and discuss the region that applies (will change per requisition)
• 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
• Region 2 - Pineville, Anson, Union, Union West, Central Division (CMC Main + CMC Mercy + Levine Children's Hospital)
• Region 3 - Cleveland, Kings Mtn, Lincoln, Central Division (CMC Main + Mercy + LCH)
• 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
• Schedule cycle: every 6 weeks
• Other notes:
• Scrub Color: Navy
• Parking: Free