Tele

Registered Nurse

Unit: Pulmonary & Observation with 32 beds. Nurse to patient ratios are 1:6. Experience in Med-Surg, Telemetry, Critical Drips, and Trach Care is required. Peritoneal Dialysis experience is preferred. MS/Tele nurses with a good cardiac background are desired. RNs are required to titrate drips. Common titratable and/or set rate drips include Heparin, Cardizem (up to 15mg/hr), Lasix, Dopamine (low dose renal perfusion), and Amiodarone. Monitor Techs are available 24/7 on this unit. Charge RNs read strips, but RNs are expected to review strips each shift. Charge nurses have a modified patient assignment, usually 2 patients. If staffing permits, the charge nurse may be free from patient assignment. Travelers may be asked to fill in the Charge Nurse role if willing and interested. Cross-training may be offered. House supervisors are available 24/7. Nurse aids are present on this unit with ratios of 1:10 during the day shift and 1:15 during the night shift. Available respiratory therapy equipment includes CPAP, BiPAP, High Flow O2, and Trachs (only on Trach Collar or Room Air). RNs perform trach care while RT maintains ventilators. IV pumps, sequential compression devices, and pulse oximetry are also utilized. Shifts are scheduled from 6:45 am to 7:15 pm or 6:45 pm to 7:15 am. Scheduling will be managed by the director or floor manager. Block scheduling is allowed as long as unit needs are met and requests are considered. Weekend requirements include every other weekend. Holidays are scheduled in rotation with core staff. If staff have been employed long enough, their previous holiday scheduling may be taken into account. Floating is required if not needed on the primary unit. In such cases, RNs may be asked to float to other units or the emergency department to care for boarded patients. The dress code for RNs and LPNs is navy scrub color, while C.N.As and Monitor Techs wear dark grey or pewter. Scrubs must be solid color without embroidery or patterns. Client or solid color fleece zip-ups are allowed in grey, black, navy, or royal blue. Solid undershirts can be worn in white, grey, or black that matches the scrub top. Closed-toed shoes are required; crocs are not permitted. An abbreviated Initial Skills Checklist will be due within 90 days from the start date. The charting system utilized is EPIC.