Job Title: RN Med Surg
Duration: 13 Weeks
Location: Sheboygan, WI
Shift: 0645-1915
About Facility
o 3400 Union Ave, Sheboygan, WI 53081
o 101 Licensed beds
o Level IV Trauma Center
o Primary Stroke Center
General Information
o Beds: 23-24, depending on unit
o Minimum Years of Experience: 2 years MedSurg experience
o First-time traveler: Yes
Patient Types:
o This is a Float Pool position. Travelers will be required to float to the below units as well as anywhere in the hospital there are MedSurg patients, including ER Holding/Boarding.
o MS1 General Medical Surgical
Oncology: will not have to give chemo, but will care for oncology patients and patients receiving chemo
Do have some pediatric patients on the floor (> 1 yr. old). No peds experience required, will not take peds patients.
Surgical: gallbladder, appendectomies, colectomies, ostomies, TURPs
General Medical: Cellulitis, GI bleeds, CHF, COPD, etc. Outpatient infusions(abx/fluids)
o MS2 Ortho/Neuro
Observation: chest pain, dizziness, syncope
Ortho: total hips, total knees, shoulders.
Neuro: spine surgeries, strokes, altered mental status, TIA vs. stroke obs,
o MS2 Cardiac
Cardiac post-procedure: cath, TEE, cardioversion. Send for manager approval if no experience with this.
General Cardiac: heart failure, chest pain, cardiac arrythmias
Patient Ratios:
o Days: 1:4-6
o Nights: 1:6
Required Certifications:
o BLS, ACLS, NIHSS
Skills required
o Chest tubes, stable trach management, IV skills, port/central lines, knowledgeable on CPAP/BiPAP/Airvo (RT will manage equipment), foley insertion/care, feeding tubes, cardiac rhythm interpretation
o Titrating Drips: Cardizem, amiodarone, insulin, argatroean. Send for manager approval if no experience with drips.
o EPIC experience
Support on the Unit:
o HUC: Days only
o CNA:
Able to take vitals, do blood glucose, no IV insertions or removals
Days 1:5-6
PM 1:6-7
Nights 1:10
o Charge nurse - takes patient assignment. Sometimes full, sometimes reduced
o Phlebotomy: Yes, peripheral lab draws
o Hard sticks: notify house supervisor, will find a resource (anesthesia or ED tech/RN)
o RT 24/7
o Hospitalist 24/7 --- communicates through secure chat on EPIC
o OT, PT, ST – weekdays, limited hours on weekends
o Remote tele monitoring with Tele tech. If short Tele techs, could be asked to monitor patients
Charting System/Equipment:
o EMR: EPIC – experience required
o IV Pumps: Alaris
o Med Dispensing: Pyxis
Floating:
o Anywhere in the hospital that are MedSurg patients is possible to float there
o Will likely float often to ER Holding/Boarding
Orientation:
o One full shift – login access, paperwork, Epic login,
o Remainder of the shift on the unit
o 1 12h shift unit orientation – manager will choose which unit(s) they will orient to and can receive brief orientation to any new unit they float to
Scheduling:
o Weekend rotation: every other weekend
o Shifts times: 1845-0715, 0645-1915
o Schedule is made 4-6 weeks at a time, will receive 2 weeks prior.
Will consider block scheduling if requested, but no guarantees
o Approval of RTO: to go through manager
o On Call: no
o Holiday Expectations: could work 50% of the holidays in a contract
Other notes:
o Scrub Color: Any solid color, professional. No graphics, logos, designs
o Parking: Free parking
o Culture: Traveler friendly, strong teamwork atmosphere
AMC Sheboygan County - MS Float Pool
About Facility
o 3400 Union Ave, Sheboygan, WI 53081
o 101 Licensed beds
o Level IV Trauma Center
o Primary Stroke Center
General Information
o Beds: 23-24, depending on unit
o Minimum Years of Experience: 2 years MedSurg experience
o First-time traveler: Yes
Patient Types:
o This is a Float Pool position. Travelers will be required to float to the below units as well as anywhere in the hospital there are MedSurg patients, including ER Holding/Boarding.
o MS1 General Medical Surgical
Oncology: will not have to give chemo, but will care for oncology patients and patients receiving chemo
Do have some pediatric patients on the floor (> 1 yr. old). No peds experience required, will not take peds patients.
Surgical: gallbladder, appendectomies, colectomies, ostomies, TURPs
General Medical: Cellulitis, GI bleeds, CHF, COPD, etc. Outpatient infusions(abx/fluids)
o MS2 Ortho/Neuro
Observation: chest pain, dizziness, syncope
Ortho: total hips, total knees, shoulders.
Neuro: spine surgeries, strokes, altered mental status, TIA vs. stroke obs,
o MS2 Cardiac
Cardiac post-procedure: cath, TEE, cardioversion. Send for manager approval if no experience with this.
General Cardiac: heart failure, chest pain, cardiac arrythmias
Patient Ratios:
o Days: 1:4-6
o Nights: 1:6
Required Certifications:
o BLS, ACLS, NIHSS
Skills required
o Chest tubes, stable trach management, IV skills, port/central lines, knowledgeable on CPAP/BiPAP/Airvo (RT will manage equipment), foley insertion/care, feeding tubes, cardiac rhythm interpretation
o Titrating Drips: Cardizem, amiodarone, insulin, argatroean. Send for manager approval if no experience with drips.
o EPIC experience
Support on the Unit:
o HUC: Days only
o CNA:
Able to take vitals, do blood glucose, no IV insertions or removals
Days 1:5-6
PM 1:6-7
Nights 1:10
o Charge nurse - takes patient assignment. Sometimes full, sometimes reduced
o Phlebotomy: Yes, peripheral lab draws
o Hard sticks: notify house supervisor, will find a resource (anesthesia or ED tech/RN)
o RT 24/7
o Hospitalist 24/7 --- communicates through secure chat on EPIC
o OT, PT, ST – weekdays, limited hours on weekends
o Remote tele monitoring with Tele tech. If short Tele techs, could be asked to monitor patients
Charting System/Equipment:
o EMR: EPIC – experience required
o IV Pumps: Alaris
o Med Dispensing: Pyxis
Floating:
o Anywhere in the hospital that are MedSurg patients is possible to float there
o Will likely float often to ER Holding/Boarding
Orientation:
o One full shift – login access, paperwork, Epic login,
o Remainder of the shift on the unit
o 1 12h shift unit orientation – manager will choose which unit(s) they will orient to and can receive brief orientation to any new unit they float to
Scheduling:
o Weekend rotation: every other weekend
o Shifts times: 1845-0715, 0645-1915
o Schedule is made 4-6 weeks at a time, will receive 2 weeks prior.
Will consider block scheduling if requested, but no guarantees
o Approval of RTO: to go through manager
o On Call: no
o Holiday Expectations: could work 50% of the holidays in a contract
Other notes:
o Scrub Color: Any solid color, professional. No graphics, logos, designs
o Parking: Free parking
o Culture: Traveler friendly, strong teamwork atmosphere
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