Must Have:
2 years experience as RN Telemetry
Able to read and interpret rhythm strips, manage central lines, start IVs and draw blood. Able to titrate the following drips: cardizem, heparin, and insulin.
a charge nurse
Chest tubes, drains, traches
Expert: Tracheostomy Management
high acuity experience
TPN
Ventilator
Nice to Have:
1-2 years experience in ICU
advanced teamwork skills
advanced time management skills
JOB DESCRIPTION
SLMC - Med Surg: IU 4EF Med and Tele
About Facility
Milwaukee, WI
Level III Trauma Center
Level III NICU
Magnet Designation
Comprehensive Stroke Center
Beds: 933
General Information
Beds: 24 private rooms (4 rooms are for ventilators)
Experience: 2+ years
First-time traveler: NO
Patient Types:
Medical: COPD, chest pain, post cardiac cath (recovered in another unit first), COVID, DM, cellulitis, chronic trachs, wounds, ventilators, surgicals, heart failure
Average LOS: 5-10 days
Surgical: laps, no big surgeries
Vented patients: travelers will care for vented patients- will receive a 2-3hr vent class. RNs only manage the patient, RT manages the vent.
Patient Ratios:
RN:
Day/Eves: 1:4-5
Night: 1:6-7
Tech:
Day: 1:6
Nights: 1:8
Required Certifications:
RN: BLS
Skills required
Wound care required, Surgical/post-op care, IV start skills, Wound vacs, PEG tubes, tube feedings, TPN required, trach care (trachs common on this unit)
Vent experience required, however there is a class available (3hr class taught by RT, will receive an additional 12hrs of orientation with just vent patients; patients may include but not limited to pts with hypoxic brain injury on a chronic ventilator waiting for placement; max of 4 pts on vents out of 24 beds) THIS MUST BE AN EXPECTATION OF TRAVELERS BEFORE THEY ARRIVE. Please ensure that the traveler has experience with vents and is comfortable with them
Must have charge experience and is willing and comfortable performing these duties
Telemetry required
Support on the Unit:
Charge nurse: light patient assignment if staffing allows
Unit secretary, 24/7
Hospitalist, 24/7
RT, 24/7
Centralized telemetry monitoring
Phlebotomy to assist with peripheral blood draws
IV/VAD team central lines
Techs are able to do glucose, vitals, remove IVs
Charting System/Equipment:
EPIC required
Alaris
Pyxis
Client monitors
Floating:
all other MSU
ED holding 1:4 ratio
Travelers first to float
Orientation
NEO: Epic orientation, badge, log in access
12 hr orientation with charge nurse
Will assist CRN s patient assignment
Scheduling:
Schedule made 6 week at a time, receive 2 week prior
Weekend rotation: every other
RTO: Email all RTO to NM Raquel Gonzalez
On Call: None
Holiday Expectations: One holiday per contract
AAH adheres to a fatigue policy where all staff, including travelers, cannot work more than 60 hours in a week or 5 consecutive 12 hour shifts
Other notes:
Scrub Color: Any - no camo/denim
Must document pain level, before and after (1 hour) giving pain medications - The pain score must also meet the pain score with nth medication order i.e. if a patient has a score of 8, the RN cannot give the Tylenol that is ordered for mild 1-3. The RN must call for an order if the patient wants Tylenol for the score of 8.
Parking: Main Structure is free
Culture: Fast paced, high acuity, amazing staff culture, highly interactive team members with great communication and team work