RN - Med Surg

Registered Nurse (RN)

This facility is a 492-bed Level I Trauma Center featuring a Level III NICU and a Primary Stroke Center.

Traveler Information:

• First-time travelers are welcome; a minimum of 18 months of MedSurg and/or ICU experience with EPIC or Cerner is required. If the applicant has strictly ICU experience, Cerner is mandatory.
• Staff must be away for 6 months before returning as a traveler, calculated from the last shift worked to the new start date.
• Upon starting, nurses will be assigned a specific home unit during orientation.

Patient Ratios:

• Typical RN patient ratios are 1:4, with expectations for high-quality care and additional responsibilities such as assisting with ADLs, turning patients, and bathing.

Unit Information:

6 North Trauma Surgical:

• Beds: 23
• Patient Types: General Surgery and Vascular surgeries
• Skills Required: At least 1 year of trauma/surgical experience, including wound care, chest tubes, NGT, IV skills, and medication administration/documentation.

5 South Neuroscience:

• Beds: 33
• Patient Types: CVA, TBI, Seizure, AMS, Spinal Fusion, Craniotomy, Degenerative Diseases, post trauma, angiogram
• Skills Required: IV starts, blood draws from central lines, trach care, PEG, NGT, colostomy/ostomy, wound care, chest tube management, surgical site care, and restraint application.

5 North MedSurg/Oncology:

• Beds: 39, with 2 Charge RNs (no patient assignment)
• Patient Types: All patient types except stroke and MI, palliative care, and ETOH withdrawal. Focused on high acuity and fast-paced MedSurg.
• Skills Required: Trach care, chest tubes, PEG tubes, wound care, drains, foley catheter management, IV starts; chemo administration, if certified.
• Tele monitoring supported by hallway monitors and tele techs.

3 South Orthopedics:

• Beds: 20
• Patient Types: Orthopedic and spine cases including joint replacements, fractures, and fusions.
• Skills Required: PCA pumps, wound care (negative pressure dressings), dressing changes, foley management, and drain handling (hemovacs/JP drains).

3 North MS/Ortho/Urology:

• Beds: 23
• Patient Types: Urology, ENT, orthopedic, and MedSurg
• Skills Required: Trach care, wound care, wound vac management, IV starts, and central vascular line dressing changes.

Required Certifications:

• BLS
• NIHSS

Support and Technology on the Unit:

• CNA Support: 1:10-12 ratio for patient care tasks.
• Receptionist/HUC available.
• Charge Nurse: Available but rarely takes an assignment.
• Phlebotomy and IV/VAT teams are present.
• Telemetry monitoring techs are utilized in management; RNs are required to interpret telemetry strips every four hours.

Orientation and Scheduling:

• Travelers new to the facility will receive 24 hours of classroom time followed by 24 hours on the unit.
• Rehires' orientation duration will depend on their last date of service.
• Weekend rotation is required every other week or four weekend days per month.
• One major and one minor seasonal holiday off is expected.
• Requests for time off can be approved up to 7 days, excluding specified blackout dates.