RN - MedSurg/Tele
Lamb Staffing
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
● 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
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
● 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
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