RN - Med-Surg/Telemetry

● About Facility: 301 Yadkin St, Albemarle, NC 28001

o 109 Licensed Beds

o No Trauma Designation

o Not a Teaching Hospital – no residents/students

o Advanced Primary Stroke Center

o Radius rule: Traveler’s permanent address must be 50 miles outside of home unit

● Unit Information:

o Beds: 35

▪ Average Census: 22

o Minimum Experience required: 18 months Med/Tele RN exp (Resource Team requirement)

o Will you accept a first-time traveler? Not preferred, will consider

● Patient Types/Common Diagnoses:

o General Med/Surg patients – Stroke, CHF, COPD, Respiratory Illnesses, Diabetes, Post-Surgical, Behavioral Health, etc.

● Patient Ratios:

o RN: 1:5-6, acuity dependent - (surge staffing could increase ratios up to 1:7-8)

o LPN (if applicable): 1:5

o CNA: 1:10

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

o BLS, ACLS, NIHSS (Resource Team requirement)

● Skills required:

o Post-op care, Orthopedic experience, TPN, PPN

o General Med/Tele skillset : Stroke experience/NIH assessments, Chest tube management, PIV starts, trach care, Cardiac rhythm interpretation, NGT placement, drain/tube management (Dobhoff, PEG tubes, Hemovac, JP drains, flexiseals, foley insertion/management, etc), PCA pumps, wound care

o Medication gtt management to include : Cardiac drips (Diltiazem), Heparin, blood products, IVF

● Support within the Department:

o CNA? Duties? Yes – all duties within scope

o Receptionist/HUC? Only on dayshift

o Charge nurse – may or may not be in staffing

o Phlebotomy

o IV/VAT Team, only on dayshift

o Resource Nurse – as staffing allows

o RT, 24/7

o Hospitalist, 24/7

o Intensivist, 24/7

o Telemetry monitoring/tech – available for this unit but RN will have to read own Tele strips when floated to other units

● Technology/Equipment:

o EMR: EPIC

o IV Pump: Alaris

o Med dispensing: Omnicell

o Monitors: Phillips

o Unit specific equipment: Masimo

● Floating: If yes, where?

o Within Stanly - Med/Tele, ICU, PCU (if open), ED

o Within region and scope of practice

o Will be required to float per region needs – will require floating to all facilities listed below, as needed, within scope of practice – DECLINE if not agreeable

▪ Region 1 - Cabarrus, University City, Stanly, Lake Norman, Central Division (CMC Main + Mercy + LCH (peds only) -- could float to any of the facilities within region if the need arises

▪ If floating mid-shift, Traveler will be paid for the time traveling between facilities (will remain on the clock)

● Orientation (facility and unit) :

o NEO

o 2 days departmental (we complete 3 days orientation at Stanly)

● Scheduling:

o Weekend rotation: every other

o No call for Travelers

o Holiday Expectations: Travelers will work 75% of holidays

o RTO: Can approve up to 6 days off, excluding holidays – must add time to the end of the contract if unable to meet contracted hours

o Shift times: 0700-1900 and 1900-0700

o Schedule cycle: every 4 weeks

● Other notes:

o Scrub Color: Navy

o Parking: Free

o Unit Culture: Teamwork