RN – Medical Surgical; Med​/Surg

TRAVEL – RN – MED SURG (604) – PSL MC – 7P – 7A

SEEKING ASAP START DATE

• Unit: 9A Medical Surgical (60416)
• Location:
  
  Presbyterian St. Lukes Medical Center, Building: A Tower
• Number of Beds – 18
• Number of Staff – 32
• Equipment:
  Philips Monitors, Alaris Pumps, dopplers, Welch‑Allyn VS machines, mobilab, glucometers

• Must have: Proficient in trachs and ostomy care
• Preferred or nice to have: Wide experience with general surgery

• Minimally invasive surgeries, colectomy, ostomy creation and takedown, artificial airway creation and management, podiatry and plastics

• Team oriented, invested in good patient outcomes, upbeat and kind
• Enjoys a busy environment, can shift priorities with ease; enjoys precepting and coaching new nurses
• Must be willing to work weekend shifts

• Patients vary from very ill to overnight stays, including abdominal surgery, GYN surgery, COPD, DM, non‑healing wounds
• GI patients – Dr. Sellers, Dr. Craig Brown, Dr. Strutt perform colectomies, new colostomy/ileostomy, and colostomy takedown
• Dr. Canfield performs minimally invasive general surgeries with the DaVinci Robot
• GYN surgeries – hysterectomies with Dr. Dabelea or Dr. Forschner, vaginal or laparoscopic
• Medical teaching patients – interns and residents assist
• Skull base/EENT – Dr. Hepworth performs pledget studies;
  Dr. Lamond performs craniotomies

• Offer patients daily bed and linen changes.
• Hand hygiene: perform before gloving, between changing soiled/clean gloves, after patient contact, and when exiting the room.
• Restraints: only staff who have completed the P/SL Restraint Competency may care for a patient in restraints; notify charge nurse immediately before giving/placing restraints.
• Foley care: performed and documented daily; use non‑Chlorhexidine bath wipes; new CHG cloth to clean catheter; drainage bag in dependent position; perform hand hygiene and wear gloves.
• Central Lines: hand hygiene; swab‑caps (orange caps) on unused ports and lumens; daily CHG wipes; weekly dressing changes by competent staff; agency/travel RNs may NOT discontinue temporary central lines.

• 0600/1800 vital signs performed by nursing; Q shift vital times (0600, 1400, 1800, 2200). Intentional/purposeful rounding utilizing 4 Ps (Potty, Position, Placement, Pain); sign log.
• Review bath list; hygiene (bath, catheter care, peri‑care, denture/teeth cleaning, sheet changing); record intake and output; relieve patient safety attendants; assist with eating; check blood glucose; stock PPE boxes; alert charge nurse of abnormal vitals ASAP.

• RNs responsible for all vital signs except 1400 and 0200 collected by PCT.
• Work with PCT to ensure all vitals are collected and recorded as ordered.
• Intake and output documented Q 12 hours by 1659 and 0459; real‑time Meditech.
• Reassess patient; document process interventions and care plan in Meditech.
• Night staff completes SI  checklist before 0500; day staff participates in SI  rounds at 0930.
• Inform charge nurse of significant changes; document any events (rapid response, transfer, fall); follow algorithm for Cdiff; pain reassessment after meds; PCA documentation details.

• Ensure charge nurse aware of physician calls.
• Evening shift NP may write orders for teaching patients; coordinate with charge RN.
• Inform charge RN about patient changes and discharge orders; provide updates before assignments around 1600 or 0400.

• Clear pumps and record I/O by 1800.
• Stock nurse servers; empty trash and linen bags.
• Chart check: verify orders initiated and completed; communicate outstanding collections; check new orders throughout the shift.