RN - MedSurg/Tele

RN - MedSurg/Tele
• About Facility:
• 874 Licensed beds
• Level I Trauma
• Teaching Hospital
• Chest Pain Center
• Stroke Center
• Radius rule: Traveler's permanent address must be 50 miles outside of home unit
• Unit Information:
• Beds: 36
• Minimum Years of Experience required? 2 years Med/Tele RN exp (Resource Team)
• Will you accept a first-time traveler? Not preferred but will consider (Resource Team)
• Patient Types/Common Diagnoses:
• Spinal surgery/Spinal fusion - high acuity, Stroke, Seizure, Myasthenia Gravis, Brain tumors/lesions, AMS
• Patient Ratios:
• RN: 1:4-6, based on acuity; (surge staffing could increase ratios up to 1:7-8)
• CNA: varies
• Required License, National Certification, Certs:
• BLS, ACLS, NIHSS
• Skills required:
• General Med/Tele skillset : Stroke experience, cardiac rhythm interpretation, trach care, PIV starts, chest tube management, NGT placement, drain/tube management (Dobhoff, PEG tubes, Hemovac, JP drains, flexiseals, foley insertion/management, etc.), PCA pumps, mobilizing patient post-op, back and neck brace use
• Skilled in assessing and managing acute and chronic pain, including with those with a history of substance abuse. Will use multiple modalities to help alleviate pain, including opioid administration
• Must be comfortable with post-op neuro and spine care, including providing education to patient and family
• Medication gtt management to include : Cardiac drips, Heparin, blood products, IVF
• Support within the Department:
• CNA - ratios vary
• Receptionist/HUC
• Charge nurse, 24/7 - may or may not have patients
• Phlebotomy - peripheral blood draws only
• IV/VAT Team
• Resource Nurse - as available
• RT, 24/7
• Hospitalist, 24/7
• Intensivist, 24/7
• Telemetry monitoring/tech? No monitoring tech; nurses read monitors and respond
• Technology/Equipment:
• EMR: EPIC
• IV Pump: Alaris pump
• Med dispensing: Omnicell
• Unit equipment: Vital machines are Masimo, portables are Phillips
• Floating: If yes, where?
• Within region and scope of practice
• 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
• Please see job posting for dedicated region and discuss the region that applies (will change per requisition)
• 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
• Region 2 - Pineville, Anson, Union, Union West, Central Division (CMC Main + CMC Mercy + Levine Children's Hospital
• Region 3 - Cleveland, Kings Mtn, Lincoln, Central Division (CMC Main + Mercy + LCH)
• If floating mid-shift, Traveler will be paid for the time traveling between facilities (will remain on the clock)
• Orientation (facility and unit) :
• NEO
• 2 days departmental
• Scheduling:
• Weekend rotation: every other
• No call
• Holiday Expectations: Travelers will work 75% of holidays
• 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
• Shift times: 7a-7p and 7p-7a
• Schedule cycle: every 6 weeks
• Other notes:
• No more than 2 call offs in a 13-week contract or could be at risk of being cancelled
• Scrub Color: Navy
• Parking: Free
• Unit Culture: great teamwork, specialty, leadership support, high acuity status patients. Value teamwork, positive attitude and being open to real-time feedback. Highly focused on quality care, CAUTI prevention, HAPI prevention, fall prevention, and CLABSI prevention