Registered Nurse (RN) - Med-Surg/Telemetry

RN - MedSurg/Tele

● About Facility:

o Charlotte, NC

o 207 licensed beds

o No Trauma Designation

o Not a Teaching Hospital

o Chest Pain Center

o Stroke Center

o Radius rule: Traveler’s permanent address must be 50 miles outside of home unit

● Unit Information:

o Beds: Will vary based on unit

o Experience: 18+ months Med/Tele RN (Resource Team requirement)

o First-time travelers: Not preferred but will consider

● Patient Types/Common Diagnoses:

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

ADTU

o 12 Beds

o 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

o 48 Beds

o 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.

o Additional Skills Required: Ortho Experience; Spinal precautions

6S Medical Telemetry

o 34 Beds

o Patient Types : COPD, Respiratory illnesses, Diabetic Ulcer, Abdominal pain, Pancreatitis, Altered Mental Status, ESRD, etc.

5N Surgical Telemetry

o 26 Beds

o 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

o 29 Beds

o 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

o Medical Telemetry

3N Medical Telemetry

o 31 Beds

o Patient Types: End Stage Renal; PD; Fluid overload; Sickle cell; DM; Altered mental status; Cellulitis; Diabetic ulcers; Pancreatitis; Behavioral health

2N Medical

o Beds: 16 beds are Med/Tele Obs; 11 beds are Horizons Detox unit

o Patient Types: New diagnosis DM, Chest Pain, R/O stroke, Abdominal pain, GI bleed, Detox, Suicidal Ideation, Altered Mental Status

● Patient Ratios:

o RN: 1:5-6 (critical surge 1:7-8)

o CNA: 1:6-12

● Required Licensure & Certifications:

o BLS, ACLS, NIHSS (Resource Team requirement)

● Skills required:

o The only unit with additional skills needed is 7N/S Ortho – see above

o 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

o Medication gtt management to include : Cardiac drips, Heparin, blood products, IVF

● Support within the Department:

o CNA

o Receptionist/HUC

o Charge nurse – may or may not have patients

o Phlebotomy – peripheral blood draws

o IV/VAT Team: 11a-7p, 11p-7a

o Resource Nurse – as staffing allows

o RT, 24/7

o Hospitalist, 24/7

o Intensivist - ICU provider in house until 11p M-F, till 7p Sat/Sun, VCC coverage and on call Intensivist

o Telemetry monitor tech: no

● Technology/Equipment:

o EMR: Epic

o IV Pump: Alaris

o Med dispensing: Omnicell

o Monitors: Phillips

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