RN - MedSurg/Tele

SoftPath Medical

Orthopedic and trauma cases including fractures (femur, tibia-fibula, humerus, spine, ribs, etc.), head trauma with hemorrhage, osteomyelitis
Patients with acute and chronic illnesses
Post-operative surgical patients
Common co-morbidities in the med-surg population: diabetes, hypertension, infections, congestive heart failure, electrolyte imbalances

BLS certification required
Basic Cardiac Rhythm (BCR) certification required; travelers must pass an EKG competency exam for compliance
ACLS certification preferred
National certification in Medical-Surgical or Nephrology nursing preferred

Care of tracheostomies, chest tube management, peripheral IV insertion, use of Glucommander, management of insulin and heparin drips, titration of drips affecting heart rate (not blood pressure)
Strong clinical assessment and med-surg nursing skills appropriate for a Level 1 Trauma Center
IV insertion and maintenance, central line care
Wound care and post-operative patient monitoring
Cardiac monitoring and telemetry interpretation
Coordination of care with interdisciplinary teams
Discharge planning and patient education, particularly related to renal and fluid management

CNA responsibilities include vital signs, glucose monitoring, bathing, feeding, ambulation, patient turning, hourly rounding, and patient transport (transport team available); also responsible for obtaining blood from the blood bank
Unit secretary available from 7 a.m. to 11 p.m.; house-wide call secretary from 11 p.m. to 7 a.m.
Charge nurse may have patient assignments
Phlebotomy primarily performed by laboratory staff; nurses draw blood from central venous lines
No dedicated IV/VAT team, but a PICC team is available
Resource nurses include discharge nurses and a float team covering all units
Respiratory therapy available 24/7
Hospitalists available 24/7
Intensivists available 24/7
Central Telemetry Unit provides telemetry monitoring and technical support

Electronic Medical Record system: EPIC
IV pumps: Alaris
Medication dispensing system: Pyxis
Monitors: Phillips
Unit-specific equipment includes VS3 vital sign monitors, Nova Glucose Stat Strips, cardiac telemetry monitors
Portable vital signs monitors (Dynamapp)
Bladder scanners, IV pumps, portable oxygen systems
External fixators, chest tubes, Jackson-Pratt drains, Hemovac drains
Glucommander system
PCA pain management devices
Suction machines
Use of admission and discharge protocols to facilitate rapid patient turnover

Floating occurs across all adult medical-surgical and telemetry units within the facility.

Weekend rotation: 5-6 weekend shifts every 12 shifts on a 6-week schedule
No on-call responsibilities
Holiday work expectation: one shift during major holidays (Thanksgiving or the day after, December 24 or 25, December 31 or January 1)
Return-to-office requests require manager approval
Shift length: 12-hour shifts, either 7 a.m. to 7 p.m. or 7 p.m. to 7 a.m.
Schedule cycles every 6 weeks

Scrub colors: Registered Nurses wear navy; Licensed Practical Nurses wear ceil blue
Parking: free parking available around campus; paid parking available in parking decks
Unit culture: fast-paced environment with a strong team-oriented approach

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Vacancy posted more than 2 months ago

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