RN Med Surg @ Sheboygan - Float Pool: 121012134102

AMC Sheboygan County - MS Float Pool

About Facility

AMC Sheboygan County is located at 3400 Union Ave, Sheboygan, WI 53081. It has 101 licensed beds and is a Level IV Trauma Center and Primary Stroke Center.

General Information

Beds: 23-24, depending on unit

Minimum Years of Experience: 2 years MedSurg experience

First-time traveler: Yes

Patient Types

This is a Float Pool position. Travelers will be required to float to the below units as well as anywhere in the hospital there are MedSurg patients, including ER Holding/Boarding.

MS1 General Medical Surgical

Oncology: will not have to give chemo, but will care for oncology patients and patients receiving chemo

Do have some pediatric patients on the floor (> 1 yr. old). No peds experience required, will not take peds patients.

Surgical: gallbladder, appendectomies, colectomies, ostomies, TURPs

General Medical: Cellulitis, GI bleeds, CHF, COPD, etc. Outpatient infusions(abx/fluids)

MS2 Ortho/Neuro

Observation: chest pain, dizziness, syncope

Ortho: total hips, total knees, shoulders.

Neuro: spine surgeries, strokes, altered mental status, TIA vs. stroke obs

MS2 Cardiac

Cardiac post-procedure: cath, TEE, cardioversion. Send for manager approval if no experience with this.

General Cardiac: heart failure, chest pain, cardiac arrythmias

Patient Ratios

Days: 1:4-6

Nights: 1:6

Required Certifications

BLS, ACLS, NIHSS

Skills required

Chest tubes, stable trach management, IV skills, port/central lines, knowledgeable on CPAP/BiPAP/Airvo (RT will manage equipment), foley insertion/care, feeding tubes, cardiac rhythm interpretation

Titrating Drips: Cardizem, amiodarone, insulin, argatroean. Send for manager approval if no experience with drips.

EPIC experience

Support on the Unit

HUC: Days only

CNA: Able to take vitals, do blood glucose, no IV insertions or removals

Days 1:5-6

PM 1:6-7

Nights 1:10

Charge nurse - takes patient assignment. Sometimes full, sometimes reduced

Phlebotomy: Yes, peripheral lab draws

Hard sticks: notify house supervisor, will find a resource (anesthesia or ED tech/RN)

RT 24/7

Hospitalist 24/7 - communicates through secure chat on EPIC

OT, PT, ST weekdays, limited hours on weekends

Remote tele monitoring with Tele tech. If short Tele techs, could be asked to monitor patients

Charting System/Equipment

EMR: EPIC experience required

IV Pumps: Alaris

Med Dispensing: Pyxis

Floating

Anywhere in the hospital that are MedSurg patients is possible to float there

Will likely float often to ER Holding/Boarding

Orientation

One full shift login access, paperwork, Epic login

Remainder of the shift on the unit

1 12h shift unit orientation manager will choose which unit(s) they will orient to and can receive brief orientation to any new unit they float to

Scheduling

Weekend rotation: every other weekend

Shifts times: 1845-0715, 0645-1915

Schedule is made 4-6 weeks at a time, will receive 2 weeks prior.

Will consider block scheduling if requested, but no guarantees

Approval of RTO: to go through manager

On Call: no

Holiday Expectations: could work 50% of the holidays in a contract

Other notes

Scrub Color: Any solid color, professional. No graphics, logos, designs

Parking: Free parking

Culture: Traveler friendly, strong teamwork atmosphere