RN - MedSurg/Tele

RN - MedSurg/Tele

● About Facility:

·777 Hemlock St, Macon, GA 31201

·637 Licensed Beds

· Level 1 Trauma Designation

· Teaching Hospital

· Chest Pain Center

· Stroke Center

● Unit Information:

· Beds: 16

▪ Avg Census – 16 patients

· Minimum Years of Experience required? 2 years – Med/Tele RN experience

· Will you accept a first-time traveler? Yes

● Patient Types/Common Diagnoses:

· Chest pain, syncope/vomiting, abdominal pain, cellulitis, COPD exacerbation, heart failure observation, dehydration, hypertension, diabetes, POD#1 requiring hospital stay overnight, simple trauma, MVC, fall

· Waiting an Inpatient Room for admission (used to decompress the ER)

● Patient Ratios:

· RN: 1:4-6

· LPN: 1:4-6

· CNA: 1-2 per shift

● Required License, National Certification, Certs (BLS, ACLS, etc.), or other position specific requirements such as Driver's License and/or Insurance:

· RN License (associate’s degree at a minimum)

· BLS, ACLS, and NIHSS required

· BCR (Basic Cardiac Rhythm) – test completed during onboarding

● Skills required:

· trach care, chest tube management, PIV starts, glucommander, insulin drips ( required ), heparin drips, drips to titrate to HR NOT BP

· Strong clinical assessment and time management

· IV insertion and Maintenance skills

· Cardiac monitoring and interpretation

· Care coordination with interdisciplinary teams

· Discharge planning knowledge and patient education

● Support within the Department:

· CNA: 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

· Unit secretary on unit 7a-11p; then house wide call secretary 11p-7a

· Charge nurse – may or may not have patient assignment

· Phlebotomy: Most units are lab collect phlebotomy; nurses drawn from CVLs

· IV/VAT Team? No IV team- do have a PICC team

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

· RT 24/7

· Hospitalist 24/7

· Intensivist 24/7

· Telemetry monitoring/tech? Central Telemetry Unit

● Technology/Equipment:

· EMR: EPIC

· IV Pump: Alaris

· Med dispensing: Pyxis

· Monitors: Phillips

· 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

▪ Glucommander

▪ PCA pain management

▪ Suction machine

▪ Use of admission/ discharge protocol for rapid turnover

● Floating: If yes, where?

· All adult med surg / telemetry units in house

● Orientation (facility and unit) :

·1 day orientation with work on educational modules

·2 days departmental

● Other notes:

· Scrub Color: RN- Navy; LPN- Ceil Blue

· Parking: Free? Have free parking around campus or can pay to park in parking decks

· Unit Culture: busy but work as team

· Unit will bed patients to this unit from the ER that are waiting on an Inpatient Admission Bed

· High turnover of patients