RN - MedSurg/Tele

RN - MedSurg/Tele

● About Facility:

o 637 licensed beds

o Level 1 Trauma Designation

o Teaching Hospital

o Chest Pain Center

o Stroke Center

● Unit Information:

o Beds: 30

▪ Census? 30

o Minimum Years of Experience required? 2 years Med/Tele RN experience

o Will you accept a first-time traveler? Yes

● Patient Types/Common Diagnoses:

o Post/Pre cardiac patients and step-down ICU patients

o Diagnosis is CHF, COPD, STEMI, NSTEMI, SEPSIS and anything similar to any of these

● Patient Ratios:

o RN: 1:4-6

o CNA: 2-3 per shift

● Required License, National Certification, Certs (BLS, ACLS, etc.), or other position specific requirements such as Driver's License and/or Insurance:

o BLS (Basic Life Support) required

o BCR (Basic Cardiac Rythm) required (EKG Rhythm exam as part of Onboarding)

o ACLS - preferred not required

o National certification- Medical-surgical certification nursing - preferred but not required

● Skills required:

o Trach chare, chest tube management, PIV starts, glucommander experience, insulin drips, heparin drips, drips to titrate heart rate but will not titrate BP drips

o Strong clinical assessment and med-surg nursing skills for Level 1 Trauma Hospital

o IV insertion and care, central line management

o Wound care and post op monitoring 

o Cardiac monitoring and telemetry interpretation

o Care coordination with interdisciplinary teams

o Discharge planning and patient education, particularly on renal and fluid management 

● Support within the Department:

o CNA? Duties? Yes - assist with VS, Glucose Checks, baths, feeding, ambulating patients, assisting turning patients, hourly rounding, transporting patients as needed (Hospital has designated Transport Team); obtain blood from blood bank

o Receptionist/HUC? Unit secretary on unit 7a-11p; then house wide call secretary 11p-7a

o Charge nurse? yes- each unit

o Phlebotomy? Most units are lab collect phlebotomy; nurses drawn from CVLs

o IV/VAT Team? Not an IV team- do have a PICC team

o Resource Nurse? Yes, we have discharge nurses, resource team floats to all units

o RT 24/7? yes

o Hospitalist 24/7? yes

o Intensivist 24/7? yes

o Telemetry monitoring/tech? Central Telemetry Unit

● Technology/Equipment:

o EMR: EPIC

o IV Pump: Alaris

o Med dispensing: Pyxis

o Monitors: Phillips

o Unit specific equipment:

▪  VS3 vital sign monitors, Nova Glucose Stat Strips

▪ PCA pain management

● Floating: If yes, where?

o All med surg telemetry units in house

● Orientation (facility and unit) :

o 1 day orientation with work on educational modules

o 2 days departmental

● Other notes:

o Scrub Color: RN- Navy; LPN- Ceil Blue

o Parking: Free? Have free parking around campus or can pay to park in parking decks

o Unit Culture: busy but work as team