RN - Med-Surg/Telemetry
Lamb Staffing
RN - MedSurg/Tele
● About Facility:
o 1 Medical Center Blvd, Winston-Salem, NC 27157
o 885 licensed beds
o Level 1 Trauma Designation
o Teaching Hospital: Yes, Academic Medical Center
o Chest Pain Center
o Stroke Center
● Unit Information: 5C
o Beds: 10
▪ Average census: 8
o Experience: 1+ year Med/Tele experience
o First-time travelers: Travel experience preferred
● Patient Types/Common Diagnoses:
o Variety of MedSurg:
▪ DM (no insulin gtts), Respiratory illnesses, GI illnesses, Neuro sx, Trauma sx, spinal precautions
o Cardiac and CT surgery – pre-CT surgery (CABG), Cath lab patients (clean Cath) – will manage TR bands
● Patient Ratios:
o RN: 1:5
o CNA: 1:10
● Required Licensure & Certifications:
o BLS, ACLS, NIHSS (Resource Team requirement)
● Skills required:
o Cardiac rhythm interpretation, PCA pumps, all types of surgical drains, wound care, TR Bands
o Gtts that traveler will manage: Cardizem, Nitro and Amio – must be comfortable to learn
● Support within the Department:
o CNA: Supports the RN by obtaining VS and blood glucose checks; assists with hourly safety rounds and ADLs.
o Receptionist/HUC
o Charge nurse – free floating. On occasion, may have a full assignment
o Phlebotomy: Yes, peripheral blood draws
o IV/VAT team: No, we start our own IVs.
o RT 24/7: Yes, available – will need to page for assistance when needed
o Hospitalist 24/7
o Intensivist 24/7
o Telemetry monitor tech: Telemetry monitors by bedside – RN will read and interpret cardiac strips
● Technology/Equipment:
o EMR: Epic
o IV Pump: Alaris
o Med dispensing: Omnicell
o Monitors: No monitors in the rooms.
o Unit specific equipment: External fixators, chest tubes, PCAs, trachs, complex wound care
● Floating:
o Rehab, 4 Ardmore, 10 Reynolds, 9 Reynolds, 5 Ardmore, Burn-10 North, 4A MedSurg Overflow
● Orientation (facility and unit) :
o NEO
o 2 days departmental
● Other notes:
o Scrub Color: Royal Blue
o Free parking: Yes
o Unit Culture: Friendly, academic medical center
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