RN - MedSurg/Tele

RN - MedSurg/Tele

About Facility

885 licensed beds

Level 1 Trauma Designation

Teaching Hospital: Academic Medical Center

Chest Pain Center

Stroke Center

Unit Information: 5C

Beds: 10

Average daily census: 8 patients

Minimum experience required: 1 year Med/Tele experience

First-time travelers considered; travel experience preferred

Patient Types/Common Diagnoses

Variety of MedSurg cases including:

• Diabetes Mellitus (no insulin drips)
• Respiratory illnesses
• Gastrointestinal illnesses
• Neurological surgeries
• Trauma surgeries with spinal precautions

Cardiac and cardiothoracic surgery patients:

• Pre-cardiothoracic surgery (CABG)
• Cath lab patients (clean Cath) managing TR bands

Patient Ratios

RN: 1:5

CNA: 1:10

Required Licensure & Certifications

• BLS
• ACLS
• NIHSS (Resource Team requirement)

Skills Required

• Cardiac rhythm interpretation
• Use of PCA pumps
• Management of all types of surgical drains and wound care
• Handling TR Bands
• Management of drips including Cardizem, Nitro, and Amiodarone (must be willing to learn)

Support within the Department

• CNA support with vital signs, blood glucose checks, hourly safety rounds, and activities of daily living
• Receptionist/HUC available
• Charge nurse available as a floater; may occasionally have a full assignment
• Phlebotomy: peripheral blood draws performed
• IV/VAT Team: Not available; nurses start their own IVs
• Respiratory Therapist available 24/7; assistance available by page
• Hospitalist coverage 24/7
• Intensivist coverage 24/7
• Telemetry monitoring by bedside; RN responsible for reading and interpreting cardiac strips

Technology/Equipment

• Electronic Medical Record system: Epic
• IV Pump: Alaris
• Medication dispensing: Omnicell
• No monitors in patient rooms
• Unit-specific equipment includes external fixators, chest tubes, PCAs, tracheostomies, and complex wound care supplies

Floating

• Floats to Rehab, 4 Ardmore, 10 Reynolds, 9 Reynolds, 5 Ardmore, Burn-10 North, and 4A MedSurg Overflow units

Orientation (Facility and Unit)

• NEO orientation
• 2 days departmental orientation

Other Notes

• Scrub color: Royal Blue
• Free parking available
• Unit culture: Friendly, academic medical center environment