RN - MedSurg/Tele

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   Orthopedic and Trauma: fractures of all types (femur, tib-fib, humerus, spinal, rib, etc.). Head trauma-hemorrhage; osteomyelitis

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 required

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

o   ACLS - preferred

o   National certification- Medical-surgical certification or Nephrology nursing - preferred

●        Skills required:

o   Trach chare, chest tube management, PIV starts, glucommander, insulin drips, heparin drips, drips to titrate HR but 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? 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

●        Scheduling:

o   Weekend rotation: 5-6 weekend shifts out of 12 (on a 6-week schedule)

o   On call? If so, what is that schedule? No call

o   Holiday Expectations: work one shift of each major holiday (Thanksgiving Day or day after + 12/24 or 12/25 + 12/31 or 1/1

o   RTO Requests: Manager approval

o   Shift times: 12-hour shifts   7A-7P or 7P-7A

o   Schedule cycle: every 6 weeks

●        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