RN - MedSurg/Tele

Registered Nurse - Medical-Surgical/Telemetry Facility Overview 637 licensed beds Level 1 Trauma Center Teaching Hospital Chest Pain Center Stroke Center Unit Details Number of beds: 35 Typical census: 35 Minimum experience: 2 years in Medical-Surgical/Telemetry nursing First-time travel nurses are welcome Patient Population and Common Diagnoses 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 Staffing Ratios Registered Nurse: 1:4-6 Licensed Practical Nurse: 1:4-6 Certified Nursing Assistants: 2-3 per shift Licensure and Certifications 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 Required Clinical Skills 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 Departmental Support 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 Technology and Equipment 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 Policy Floating occurs across all adult medical-surgical and telemetry units within the facility. Orientation Process One-day orientation including educational modules Two days of departmental orientation Scheduling Details 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 Additional Information 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 #J-18808-Ljbffr