RN - Med-Surg/Telemetry

RN - MedSurg/Tele

●        About Facility:

o   777 Hemlock St, Macon, GA 31201

o   637 Licensed Beds

o   Level 1 Trauma Designation

o   Teaching Hospital

o   Chest Pain Center

o   Stroke Center

●        Unit Information:

o   Beds: Each Med Surg unit has 20-36 beds

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

o   Will you accept a first-time traveler? Yes

●        Patient Types/Common Diagnoses:

o   Med surg / Telemetry – all inpatient med surg units

o   Common diagnoses include but are not limited to:

▪        Patients with acute or chronic disease

▪        Co-morbidities common to med-surg population: diabetes, hypertension, infections, electrolytes imbalances, etc.

▪        Cardiac patients: post-cath, CHF, a-fib

▪        Post surgical: General, Ortho, Trauma

●        Patient Ratios:

o    RN: 1:4-6

o    LPN: 1:4-6

o    CNA:  up to 1:14

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

o   BLS required

o   ACLS preferred – traveler will be required to pass and EKG competency exam during onboarding

o   Certification in med surg is a plus

●        Skills required:

o   Trach chare, chest tube management, PIV starts and IV maintenance, glucommander, strong assessment and time management skills, care coordination with interdisciplinary team, discharge planning knowledge, patient education

o   Tele skills (required): monitoring and interpreting cardiac rhythms, post-cath, TR bands, post-cath groin site management (no sheath pulls)

o   Drips (required): insulin, heparin, Cardizem, amiodarone, milrinone, Digoxin, nicardipine. Could titrate drips for HR but  not for BP

●        Support within the Department:

o   CNA – will assist with Vitals, blood glucose checks, baths, bed changes, feeding if need, patient safety attendant; walk pts, turn pts

o   Unit Secretary: on unit 7a-11p; then house wide call secretary 11p-7a

o   Charge nurse: may or may not have patients

o   Phlebotomy? Most units are lab collect phlebotomy; RNs draw off of CVLs

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

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

o   RT 24/7

o   Hospitalist 24/7

o   Intensivist 24/7

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,

●        Floating: If yes, where?

o   Travelers are utilized in a float pool capacity – will be required to float to all Med/Tele units in house, as needed

●        Orientation (facility and unit) :

o   1 day orientation with work on educational modules

o   2 days departmental

●        Scheduling:

o   Weekend rotation: 5-6 weekend shifts out of 12 (on a 6-week schedule)

o   No call

o   Holiday Expectations: work one shift of each major holiday (Thanksgiving Day or day after + 12/24 or 12/25 + 12/31 or 1/1)

o   RTO Requests: MUST go through Manager for approval

o   Shift times: 12-hour shifts  

▪        7A-7P or 7P-7A

o   Schedule cycle: every 6 weeks

●        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; Team Oriented