RN - MedSurg/Tele

RN - MedSurg/Tele

● About Facility:

o 1 Medical Center Blvd, Winston-Salem, NC 27157

o 885 licensed beds

o Level 1 Trauma Designation

o Teaching Hospital: Yes, Academic Medical Center

o Chest Pain Center

o Stroke Center

● Unit Information: 5C

o Beds: 10

▪ Census? Average patients/day? 8

o Minimum Years of Experience required: 1 year Med/Tele experience

o Will you accept a first-time traveler? Travel experience preferred

● Patient Types/Common Diagnoses:

o Variety of MedSurg:

▪ DM (no insulin gtts), Respiratory illnesses, GI illnesses, Neuro sx, Trauma sx, spinal precautions

o Cardiac and CT surgery – pre-CT surgery (CABG), Cath lab patients (clean Cath) – will manage TR bands

● Patient Ratios:

o RN: 1:5

o CNA: 1:10

● Required Licensure & Certifications:

o BLS, ACLS, NIHSS (Resource Team requirement)

● Skills required:

o Cardiac rhythm interpretation, PCA pumps, all types of surgical drains, wound care, TR Bands

o Gtts that traveler will manage: Cardizem, Nitro and Amio – must be comfortable to learn

● Support within the Department:

o CNA: Supports the RN by obtaining VS and blood glucose checks; assists with hourly safety rounds and ADLs.

o Receptionist/HUC

o Charge nurse – free floating. On occasion, may have a full assignment

o Phlebotomy? Yes, peripheral blood draws

o IV/VAT Team? No, we start our own IVs.

o RT 24/7? Yes, available – will need to page for assistance when needed

o Hospitalist 24/7

o Intensivist 24/7

o Telemetry monitoring/tech? Telemetry monitors by bedside – RN will read and interpret cardiac strips

● Technology/Equipment:

o EMR: Epic

o IV Pump: Alaris

o Med dispensing: Omnicell

o Monitors: No monitors in the rooms.

o Unit specific equipment: External fixators, chest tubes, PCAs, trachs, complex wound care

● Floating: If yes, where?

o Rehab, 4 Ardmore, 10 Reynolds, 9 Reynolds, 5 Ardmore, Burn-10 North, 4A MedSurg Overflow

● Orientation (facility and unit) :

o NEO

o 2 days departmental

● Other notes:

o Scrub Color: Royal Blue

o Parking: Free? Yes

o Unit Culture: Friendly, academic medical center

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