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 Common diagnoses: Heart Failure, A-Fib, Acute kidney injury, chronic kidney disease, Respiratory failure, COPD, Asthma, NSTEMI, Sepsis, Diabetes
o Patients with acute or chronic disease
o Post-op surgeries and post cardiac procedures
o Co-morbidities common to med-surg population: diabetes, hypertension, infections, CHF, electrolytes imbalances
● Patient Ratios:
o RN: 1:4-6
o LPN: 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 required
o BCR (Basic Cardiac Rythm)– meaning traveler will be required to pass an EKG competency exam as part of Compliance
o ACLS - preferred
o National certification- Medical-Surgical certification nursing -preferred but not required
● Skills required:
o Trach chare, chest tube management, PIV starts, glucommander, insulin drips, heparin drips, drips to titrate HR but NOT BP
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 Groin management
o Foley insertion, care and maintenance
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 – may have patients
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 Cardiac Telemetry monitoring
▪ Portable vital signs monitors (Dynamapp)
▪ Bladder scanners, IV pump, portable oxygen system
▪ External fixators, chest tubes, JP drains and Hemovac drains
▪ Glucommander
▪ PCA pain management
▪ Suction machine
▪ Use of admission/ discharge protocol for rapid turnover
● Floating: If yes, where?
o All adult 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 On call? If so, what is that schedule? 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
#TB_RN
ZRHC
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