RN - MedSurg/Tele

RN - MedSurg/Tele

● About Facility:

o 777 Hemlock St, Macon, GA 31201

o 637 Licensed Beds

o Level 1 Trauma Designation

o Teaching Hospital

o Chest Pain Center

o Stroke Center

● Unit Information:

o Beds: Each Med Surg unit has 20-36 beds

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

o Will you accept a first-time traveler? Yes

● Patient Types/Common Diagnoses:

o Med surg / Telemetry – all inpatient med surg units

o Common diagnoses include but are not limited to:

▪ Patients with acute or chronic disease

▪ Co-morbidities common to med-surg population: diabetes, hypertension, infections, electrolytes imbalances, etc.

▪ Cardiac patients: post-cath, CHF, a-fib

▪ Post surgical: General, Ortho, Trauma

● Patient Ratios:

o RN: 1:4-6

o LPN: 1:4-6

o CNA: up to 1:14

● 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 ACLS preferred – traveler will be required to pass and EKG competency exam during onboarding

o Certification in med surg is a plus

● Skills required:

o Trach chare, chest tube management, PIV starts and IV maintenance, glucommander, strong assessment and time management skills, care coordination with interdisciplinary team, discharge planning knowledge, patient education

o Tele skills (required): monitoring and interpreting cardiac rhythms, post-cath, TR bands, post-cath groin site management (no sheath pulls)

o Drips (required): insulin, heparin, Cardizem, amiodarone, milrinone, Digoxin, nicardipine. Could titrate drips for HR but not for BP

o 6 months EPIC experience required

● Support within the Department:

o CNA – will assist with Vitals, blood glucose checks, baths, bed changes, feeding if need, patient safety attendant; walk pts, turn pts

o Unit Secretary: on unit 7a-11p; then house wide call secretary 11p-7a

o Charge nurse: may or may not have patients

o Phlebotomy? Most units are lab collect phlebotomy; RNs draw off of CVLs

o IV/VAT Team? Not an IV team - do have a PICC team

o Resource Nurse? Yes, we have discharge nurses, and the Resource team floats to all units

o RT 24/7

o Hospitalist 24/7

o Intensivist 24/7

o Telemetry monitoring/tech? Central telemetry unit

● Technology/Equipment:

o EMR: EPIC – 6 months EPIC experience required

o IV Pump: Alaris

o Med dispensing: Pyxis

o Monitors: Phillips

o Unit specific equipment: VS3 vital sign monitors, Nova Glucose Stat Strips,

● Floating: If yes, where?

o Travelers are utilized in a float pool capacity – will be required to float to all Med/Tele units in house, as needed

o Will also float to ED for holds

● 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 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: MUST go through Manager for 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; Team Oriented