RN - MS Tele

Med Surg/Tele RN

Profession: Registered Nurse

Specialty: Med Surg/Tele RN - Ortho/Uro/Neuro

Duration: 13 weeks

Shift: 12H Days

Hours per Shift: 12 hours (0700 to 1930)

Experience: Minimum 1 year of acute care nursing experience

License: Active Registered Nurse License

Certifications: BLS

Must-Have: 1-2 years acute care nursing experience

Description: Department: Med Surg RN Unit

This unit has 29 beds. Nurse to Patient Ratios: Days: 1:4-5 NOCs: 1:5-6

Common diagnoses and types of patients include: Ortho Trauma (fractures, joint replacements), Vascular (fem-pop bypass, carotid endarterectomy, heparin drips, wound dressing changes), Urology (TURP, TURBT, continuous bladder irrigation), Neuro-spine (laminectomy, fusion, back pain), Client Oncology (TAH/OBS), and Acute Medical.

Registered Nurses are required to titrate drips following a prescribed nomogram. Common titratable and/or set rate drips include heparin, nitro, bivalirudin, Cardizem, and insulin. Telemetry technicians monitor the telemetry throughout the unit, and Registered Nurses do not need to read strips. The Charge Nurse on all shifts takes an assignment, and there is a house supervisor on all shifts. Nursing Assistants are present on the unit. From 0630-1900, the ratio is 1:8-10; from 1900-2300, there are 2 CNAs for the nursing unit; and from 2300-0700, there is 1 CNA. During the 1900-0700 timeframe, Registered Nurses carry different responsibilities for vital signs and ADLs compared to day shifts. Respiratory Therapy support is present with equipment including CPAP, BIPAP, and High Flow Oxygen Therapy, but there are no vents. Self-scheduling is not available. Block scheduling is attempted based on staffing. Weekend requirements: every other weekend. Holiday requirements: every other holiday. There is no call or standby requirement. Floating to other adult medical/surgical nursing units is required. Dress code: Any color, clean and professional scrubs. Unit-specific orientation includes one day of computer training and one to two precepted floor orientation days. All clinicians must clock in and out at the facility.