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RN - Med-Surg/Telemetry

Lamb Staffing

RN - MedSurg/Tele

About Facility:

o 637 licensed beds

o Level 1 Trauma Designation

o Teaching Hospital

o Chest Pain Center

o Stroke Center

Unit Information:

o Beds: 35

▪ Census? 35

o Minimum Years of Experience required? 2 years Med/Tele RN experience

o Will you accept a first-time traveler? Yes

Patient Types/Common Diagnoses:

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 (Basic Life Support) required

o BCR (Basic Cardiac Rythm) required – meaning traveler will be required to pass an EKG competency exam as part of Compliance

o ACLS - preferred not required

o National certification- Medical-Surgical certification - preferred

Skills required:

o trach chare, chest tube management, PIV starts, glucommander, insulin drips, heparin drips, drips to titrate Heart Rate but not Blood Pressure

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 management 

Support within the Department:

o CNA? Duties? Yes - 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 – may have patients

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? Yes, we have discharge nurses, resource team floats to all units

o RT 24/7? yes

o Hospitalist 24/7? yes

o Intensivist 24/7? yes

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

▪ External fixators, chest tubes, JP drains and Hemovac drains

▪ 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

Vacancy posted 8 days ago
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