RN - MedSurg​/Tele

• Minimum Years of Experience required? 2 years - Med/Tele RN experience
• Will you accept a first-time traveler? Yes
• Chest pain, syncope/vomiting, abdominal pain, cellulitis, COPD exacerbation, heart failure observation, dehydration, hypertension, diabetes, POD#1 requiring hospital stay overnight, simple trauma, MVC, fall
• Waiting an Inpatient Room for admission (used to decompress the ER)
• RN: 1:4-6

Required License, National Certification, Certs (BLS, ACLS, etc.), or other position specific requirements such as Driver's License and/or Insurance:

• RN License (Associate's degree at a minimum)
• BLS, ACLS, and NIHSS required
• BCR (Basic Cardiac Rhythm) - test completed during onboarding

Skills required:

• Trach care, chest tube management, PIV starts, glucommander, insulin drips, heparin drips, drips to titrate to HR NOT BP
• Strong clinical assessment and time management
• IV insertion and Maintenance skills
• Cardiac monitoring and interpretation
• Care coordination with interdisciplinary teams
• Discharge planning knowledge and patient education

Support within the Department:

• CNA: 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
• Unit secretary on unit 7a-11p; then house wide call secretary 11p-7a
• Charge nurse - may or may not have patient assignment
• Phlebotomy:
  Most units are lab collect phlebotomy; nurses drawn from CVLs
• IV/VAT Team? No IV team- do have a PICC team
• Resource Nurse? Yes, we have discharge nurses and Resource team floats to all units
• RT 24/7
• Hospitalist 24/7
• Intensivist 24/7
• Telemetry monitoring/tech? Central Telemetry Unit

Technology/Equipment:

• EMR: EPIC
• IV Pump:
  Alaris
• Med dispensing:
  Pyxis
• Monitors:
  Phillips
• 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, Glucommander, PCA pain management, Suction machine, Use of admission/discharge protocol for rapid turnover

Floating: All adult med surg / telemetry units in house

Orientation (facility and unit): 1 day orientation with work on educational modules, 2 days departmental

Scheduling:

• Weekend rotation: 5-6 weekend shifts out of 12 (on a 6-week schedule)
• Holiday Expectations: work one shift of each major holiday (Thanksgiving Day or day after + 12/24 or 12/25 + 12/31 or 1/1)
• Shift times: 12-hour shifts 7A-7P or 7P-7A
• Schedule cycle: every 6 weeks

Other notes:

• Parking:
  Free? Have free parking around campus or can pay to park in parking decks
• Unit Culture: busy but work as team
• Unit will bed patients to this unit from the ER that are waiting on an Inpatient Admission Bed