RN (Registered Nurse)

Float Pool RN Opportunity

Float Pool RNs needed to float between medical-surgical/telemetry and stepdown units. Below are the details for each unit.

Medical-Surgical Units

Units 1W MedSurg (Cost Center 3427) and 2E MedSurg (Cost Center 3424) have the following details:

Beds: 1W MedSurg has 28 private beds; 2E MedSurg has 29 private beds. Note: 2E MedSurg includes 2N & 2S but refers to the entire area of 2E as one big unit.

Certifications: BLS is the only required certification.

Ratios: 1:6-7. Charge Nurse/House Supervisor is available. They have a Clinical Manager Mon-Sat who acts as both charge nurse and nurse manager. They do not take patients unless the census is >24, then they will take patients. Nights have a resource nurse who takes a full patient assignment.

Nurse Aides: Both 1W & 2E will each have 2 CNAs on Days but no CNAs on nights.

Weekend Requirement: EOW - Sat/Sun are weekend shifts for both Days or Nights. They are required to work 2 Fridays per schedule. Most staff group their Friday with their weekend shifts, working Fri/Sat/Sun to get it out of the way.

Holidays: Work into the perm staff holiday rotation.

Scrub Color: Navy Blue - jackets (if worn) must also be navy blue.

Tele: They can have patients on remote tele but there are no monitors on this unit. Tele patients are monitored remotely by the monitor tech on the 3rd floor.

Nurse's Read Strips? No. Drips: Heparin & possibly MSO4 for comfort measures, but no cardiac gtts. Vents: Bipap, Cpap, High Flow - all managed per RT.

Shifts: RNs - All 12's: 7a-7:30p; 7p-7:30a. CNAs - Only 8's: 6:00am - 2:30pm & 2pm - 10:30pm. They allow self-scheduling & blocked schedules as long as needs of the units are met.

Floating: Only floating would be to other MedSurg units. Floor specific orientation 1 shift w/ a preceptor. Common diagnosis/Types of patients: 1W: Mainly post surgicals & ortho. 2E: Mainly MedSurg, pneumonia, dialysis, palliative care, hospice, end of life, chemo (volume for inpatient chemo is fairly low). The director & manager administer chemo. Currently any COVID patients are also housed on this unit on one of the hallways - classified as 'dirty'. 'Clean' patients are housed on a different hallway. Could be assigned to both 'clean' & 'dirty' patients at the same time. MUST be comfortable with this.

Tele/Stepdown Unit

Unit 3W Stepdown (Cost Center 3428) has the following details:

Beds: 28-beds private.

Certifications: BLS, ACLS, NIHSS are all required.

Ratios: 1:4-5 (If MedSurg acuity 1:6).

EMR: Currently Cerner - Switching to Epic June 2021.

Charge Nurse/House Supervisor: Day charge no assignments - night charge might have an assignment.

Nurse Aides: 2 per shift during the day & mid shift. No CNA at night after 11p.

Weekend Requirement: EOW: Days S/S, Nights F/S/S.

Holidays: Every other holiday - work into perm staff holiday rotation.

Scrub Color: Navy Blue - jackets (if worn) must also be navy blue.

Tele: Monitors Yes. Do nurses read strips? They have a monitor tech but the RNs must be able to read & interpret strips. They are also the central monitor station for the whole hospital.

Drips: Must be able to titrate drips: Cardizem, Nitro, Dopamine, Dobutamine, & Heparin. Insulin is only set-rate. No sedation gtts.

Vents: Bipap, Cpap, High Flow.

Hospitalist or Intensivist in house: Hospitalist is in-house 24/7, Intensivist in the ICU 7 days/week from 7a-7p & on-call after hours. Sometimes have an NP.

IV Team: No IV Team but the ICU charge nurses or the ICU Director can be called for difficult IV sticks.

RT: 24/7 In-house.

Pharmacy: 24/7 In-house.

Shifts: RNs: 12's 7a-7:30p; 7p-7:30a. CNAs: 8's 6:30a-3p; 2:30p-11p. The Director is wonderful! He always communicates w/ staff/travelers regarding their schedule. Allows block scheduling.