RN (Registered Nurse)

Common diagnoses/Types of patients: General ER patients: ABD pain, back pain, lacerations, influenza, COVID, SOB, CP, stroke/CVA w/ TPA, psych, MVAs, some trauma - will stabilize & ship out, DKA, sickle cell, HTN, send out STEMI. Have both MDs and midlevels staffed (start the day with 1 MD and a midlevel also comes in at 11) - working on adding a 3rd provider that would be another mid-level.

Unit Notes
Last updated 11/29/2022

-Working ER, no floating to Med-Surg required
-Facility will not entertain any schedule changes.
-40 miles SW of Savannah, GA, not far from the ocean

CAH (but working on their level IV), not a STEMI or stroke receiving center
# beds/trauma bays: 18 beds including 3 trauma bays
Do you have a Fast track? Do not generally use a specific fast track area
Do you have a separate Triage area & do you allow/require travelers to do Triage? Yes, have a triage area & travelers can sometimes work triage depending on their experience.
Do you have a separate holding area in the ER or are ER holds intermixed w/in the ER? No separate holding area - intermixed in ER
Do ER RN's manage their own ER holds? ER nurses take holds
Do you have separate Psych/seclusion rooms? Is not a separate area; but have 2 'safety rooms' that can be used for psych patients
In-house Security: In-house on the weekends - working on getting 24/7 coverage
# patients per day: 90/day on average; however during peak season can get up to 140/day
Nurse:Patient Ratios - Depends on acuity, but generally 1:4-5
Required Certifications: BLS, ACLS, PALS required, TNCC preferred
Common diagnoses/Types of patients: General ER patients: ABD pain, back pain, lacerations, influenza, COVID, SOB, CP, stroke/CVA w/ TPA, psych, MVAs, some trauma - will stabilize & ship out, DKA, sickle cell, HTN, send out STEMI
Common drips: All common ER/critical care drips
Experience or 'Must have' skills: 2 years of ER experience.

Travel preferred, but not required.

Need to be able to multitask & keep up with fast pace & high acuity.
Need to be proficient with IVs and drips. Prefer ICU hold experience. They have a higher patient load than most CAH. Looking for experience from smaller community hospitals VS CAH because of their volume

EMR: T-system
ED Physician &/or Mid-Levels staffed? Generally how many are on at a time?
Have both MDs and midlevels staffed (start the day with 1 MD and a midlevel also comes in at 11) - working on adding a 3rd provider that would be another mid-level.
Is there a Charge Nurse &/or House Supervisor on each shift? Does the charge nurse take an assignment? Charge nurse on every shift - will take a patient assignment
Are there nurse aids/EMT/Paramedics/Patient Sitters on each shift? Ratios? Duties? PCTs - have 1 in the AM and a 2nd who comes in at noon - general tech duties as well as VS, draw labs, splinting, etc
RT Equipment (Vents, Cpap, BiPap, High Flow, etc.) Are RNs required to do anything with these besides trouble shoot? Vents, Bipap, Cpap, etc - nurses need to be able to troubleshoot

Do you have Tele/Monitor Techs in the ER? Are RNs required to read their own strips? What brand are the Tele monitors Tele is in every room except for 'safety rooms'. RNs must be able to read and interpret strips.

X-Ray or CT in the ER? Transport? In hospital 24/7 - Radiology transports
Does Phlebotomy draw labs or RNs draw? RNs & techs draw labs

Shifts & Scheduling (Do you allow self-scheduling? Block scheduling?) 12Hr shifts: 7a, 12p, 3p, 7p. Self scheduling is allowed but not finalized until the manager reviews/approves. Block scheduling allowed.
Weekend Requirement: Every other weekend
Holiday Requirement: Will be rotated with perm staff
Is there a call or standby requirement? No
Floating Requirements: No floating
Scrub Color/Dress Code: Caribbean Blue & scrub jacket must be same color or white
Unit/Department specific orientation: 3 shifts

Additional Notes
Ultra sound and vein finder for ER & MedSurg. RT is here 24/7 (only 1 on at night).
Pharmacy in house until 5p - resource nurse mixes meds & they have a book with instructions.
Masking is not required if vaccinated. Face mask and shield required if unvaccinated.
Really big on customer service & patient satisfaction.