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: 30
▪ Census? 30
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 Post/Pre cardiac patients and step-down ICU patients
o Diagnosis is CHF, COPD, STEMI, NSTEMI, SEPSIS and anything similar to any of these
● Patient Ratios:
o RN: 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 (Basic Life Support) required
o BCR (Basic Cardiac Rythm) required (EKG Rhythm exam as part of Onboarding)
o ACLS - preferred not required
o National certification- Medical-surgical certification nursing - preferred but not required
● Skills required:
o Trach chare, chest tube management, PIV starts, glucommander experience, insulin drips, heparin drips, drips to titrate heart rate but will not titrate BP drips
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? yes- each unit
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
▪ PCA pain management
● Floating: If yes, where?
o All 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 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
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