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: 23
• Census? 10-23


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 Hip, Knee, shoulder replacement surgeries, bariatric surgeries, spinal surgeries (TLIF, ACDF, lumbar fusion etc.)


o Cardiac drips (non-titratable) and insulin drips, Chest tubes, wound vacs, trachs, PCA pumps for pain control


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 but not required
• Skills required:


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