RN - MedSurg/Tele
Lamb Staffing
RN - MedSurg/Tele
• About Facility:
o 874 Licensed beds
o Level I Trauma
o Teaching Hospital
o Chest Pain Center
o Stroke Center
o Magnet Designated
o Radius rule: Traveler's permanent address must be 50 miles outside of home unit
• Unit Information:
o Beds: 36
o Minimum Years of Experience required? 2 years Med/Tele RN exp (Resource Team)
o Will you accept a first-time traveler? Not preferred but will consider (Resource Team)
• Patient Types/Common Diagnoses:
o Sepsis, Respiratory illnesses, GI Disorders, infections, Liver Failure, AKI/CKD
• Patient Ratios:
o RN: 1:5-6, acuity dependent; (surge staffing could increase ratios up to 1:7-8)
o CNA: 1:9
• Required License, National Certification, Certs (BLS, ACLS, etc.), or other position specific requirements such as Driver's License and/or Insurance:
o BLS, ACLS, NIHSS (Resource Team requirement)
• Skills required:
o General Med/Tele skillset: Stroke experience, cardiac rhythm interpretation, trach care, PIV starts, chest tube management, NGT placement, drain/tube management (Dobhoff, PEG tubes, Hemovac, JP drains, flexiseals, foley insertion/management, etc), PCA pumps
o Medication gtt management to include : Cardiac drips, Heparin, blood products, IVF
• Support within the Department:
o CNA - ratios vary
o Receptionist/HUC
o Charge nurse, 24/7 - may or may not have patients
o Phlebotomy - peripheral blood draws only
o IV/VAT Team
o Resource Nurse - as available
o RT, 24/7
o Hospitalist, 24/7
o Intensivist, 24/7
o Telemetry monitoring/tech? No monitoring tech; nurses read monitors and respond
• Technology/Equipment:
o EMR: EPIC
o IV Pump: Alaris
o Med dispensing: Omnicell
o Monitors: Phillips
• Floating: If yes, where?
o Within region and scope of practice
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 1 - Cabarrus, University City, Stanly, Lake Norman, Central Division (CMC Main + Mercy + LCH (peds only) -- could float to any of the facilities within region if the need arises
• Region 2 - Pineville, Anson, Union, Union West, Central Division (CMC Main + CMC Mercy + Levine Children's Hospital)
• 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 No call for travelers
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
• Other notes:
o Scrub Color: Navy
o Parking: Free
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