RN - MedSurg/Tele

RN - MedSurg/Tele

● About Facility:

o Macon, GA

o 637 licensed beds

o Level 1 Trauma Designation

o Teaching Hospital

o Chest Pain Center

o Stroke Center

● Unit Information:

o Beds: 20

▪ Census? 20

o Minimum Years of Experience required? 2 years

o Will you accept a first-time traveler? Yes

● Patient Types/Common Diagnoses:

o Diverse population: typically includes patients who have had strokes and / or brain injuries

o Patients with acute or chronic disease

o Post-op surgeries

o Co-morbidities common to med-surg population: diabetes, hypertension, infections, CHF, electrolytes imbalances

● Patient Ratios:

o RN: 1:4-6

o LPN: 1:4-6

o CNA: 2-3 per shift

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

o BLS, BCR (basic cardiac rhythm) - required

o ACLS - preferred

o National certification- Medical-surgical certification - preferred but not required

● Skills required:

o trach chare, chest tube management, PIV starts, glucomander, insulin drips, heparin drips, drips to titrate to HR NOT BP

o Strong clinical assessment and med-surg nursing skills for Level 1 Trauma Hospital

o IV insertion and care, central line management

o Wound care and post op monitoring 

o Cardiac monitoring and telemetry interpretation

o Care coordination with interdisciplinary teams

o Discharge planning and patient education, particularly on renal and fluid management 

● Support within the Department:

o CNA: assist with VS, Glucose Checks, baths, feeding, ambulating patients, assisting turning patients, hourly rounding, transporting patients as needed (Hospital has designated Transport Team) ; obtain blood from blood bank

o Receptionist/HUC? Unit secretary on unit 7a-11p; then house wide call secretary 11p-7a

o Charge nurse? yes- each unit

o Phlebotomy? Most units are lab collect phlebotomy; nurses drawn from CVLs

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

o Resource Nurse? discharge nurses; 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 Cardiac Telemetry monitoring

▪ Portable vital signs monitors (Dynamapp)

▪ Bladder scanners, IV pump, portable oxygen system

▪ Glucommander

▪ PCA pain management

▪ Suction machine

▪ Use of admission/ discharge protocol for rapid turnover

● Floating: If yes, where?

o All adult med surg / telemetry units in house

● Orientation (facility and unit) :

o 1 day orientation with work on educational modules

o 2 days departmental

● 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 but work as team