Title: Med-Surg Telemetry Registered Nurse
Location: Milwaukee Wisconsin 53215
Duration: 13 Weeks
Shift: 12hr Night Shift (36)
Shift Information: 1900-0730
Clinical Interviewing- yes
On Call, Call Back Requirements: No On call requirement
Weekend Rotation: every other weekend rotation
Holiday Requirements: one holiday per contract.
Floating Requirements: yes
About Facility- 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 yearsPatient Types:- Medical: COPD, chest pain, post cardiac cath (recovered in another unit first), COVID, DM, cellulitis, chronic trachs, wounds, ventilators, surgicals, heart failure
- 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:
Required Certifications: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
['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'] Shift: ['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']
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