Medical Surgical Registered Nurse

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. 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.

Title: Medical Surgical Registered Nurse

Location: Macon Georgia 31201

Duration: 13 Weeks

Shift: 12hr Night Shift - 36

Shift Information: 7P-7A

Clinical Interviewing- Yes - Manager Approval to Offer

On Call, Call Back Requirements: None

Weekend Rotation: 6 shifts on a 6 week schedule (6 out of 12 shifts)

Holiday Requirements: Travelers will work 75% of holidays

Floating Requirements: all med surg / telemetry units

**Start Date - Oct 5th**


About Facility:

• 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

Scheduling:

• Weekend rotation: 5-6 weekend shifts out of 12 (on a 6-week schedule)
• On call: If so, what is that schedule: No call
• Holiday Expectations: work one shift of each major holiday (Thanksgiving Day or day after 12/24 or 12/25 12/31 or 1/1
• RTO Requests: Manager approval
• Shift times: 12-hour shifts 7A-7P or 7P-7A
• Schedule cycle: every 6 weeks

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

#PCUnurse1

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