RN - PCU
Lamb Staffing
RN - PCU
• About Facility:
o 58 licensed beds
o No Trauma Designation
o Radius rule: Traveler's permanent address must be 50 miles outside of home unit
• Unit Information:
o Beds: 33
o Minimum Years of Experience required? 18 months PCU exp
o Will you accept a first-time traveler? Yes
• Patient Types/Common Diagnoses:
o Stroke R/O, PNA, cellulitis, FTT, AMS, CP R/O, Afib, COPD, etc.
o This is a combination unit of PCU and MedSurg patients.
• Patient Ratios:
o RN: 1:5-1:6
o LPN (if applicable): Takes primary nurse assignment (same as RN ratio)
o CNA: 1:8-1:12
• Required Licensure & Certifications:
o RN: BLS, ACLS, NIHSS
• Skills required:
o Essential nursing functions, teamwork, communication
o Experience with traches, cardiac gtt experience, cardiac rhythm interpretation, chest tubes, blood products, wound care/dressing changes, management of central lines
• Support within the Department:
o CNA - ADLs, VS, FSBG, Telemetry/Masimo monitoring, assist with ADT.
o Receptionist/HUC - Most day shifts - Call bell and phone call triage, assist with ADT
o Charge nurse - mostly without patient assignment
o Phlebotomy
o IV/VAT Team
o Resource Nurse, as staffing allows
o RT 24/7Yes
o Hospitalist 24/7 - a Mix of in person and Virtual
o Telemetry monitoring/tech - Monitored at nurses station and in Central Bunker at AH Cleveland
• Technology/Equipment:
o EMR: EPIC
o IV Pump: Alaris
o Med dispensing: Omnicell
o Monitors: Phillips Telemetry
o Unit specific equipment: Several fall prevention tools in use, multiple patient positioning tools in use
• Floating:
o Will float within scope of practice at this facility as well as the below details.
o This facility works closely with AH Cleveland, so could float to that facility fairly regularly (15-20 minutes apart). Travelers would typically know in advance if needed over there.
o Will be required to float per region needs - will require floating to all facilities listed below, as needed, within scope of practice - DECLINE if not agreeable
• Region 3 - Cleveland, Kings Mtn, Lincoln, Central Division (CMC Main + Mercy + LCH)
• If floating mid-shift, Traveler will be paid for the time traveling between facilities (will remain on the clock)
• Orientation (facility and unit) :
o NEO
o 2 days departmental
• Scheduling:
o Weekend rotation: every other
o Call: Possibility of low census call. Can be called back up to 3a for Nights and up to 3p for Days
o Holiday Expectations: Travelers will work 75% of holidays
o RTO: Can approve up to 6 days off, excluding holidays - must add time to the end of the contract if unable to meet contracted hours
o Shift times: 7a-7p or 7p-7a
o Schedule cycle: every 6 weeks
• Other notes:
o Scrub Color: Navy Blue
o Parking: Free
o Unit Culture: Close-Knit, teamwork by all, every patient is our patient, high value on patient experience
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