RN - MedSurg​/Tele

JOB DESCRIPTION
RN - Med Surg/Tele

About Facility:
o 304 Turner McCall Blvd, Rome, GA 30165
o 361 licensed beds
o Level 2 Trauma Designation
o Teaching Hospital? Yes, Residency Program
o Chest Pain Center
o Stroke Center
Department Information:
o Minimum Years of Experience required? 2 years in requested specialty
o Will you accept a first-time traveler? Will consider, not preferred
Patient Types/Common Diagnoses:
ED:
o General ED population for Level 2 Trauma Chest Pain/Cardiac events, Stroke, Trauma GSW, Stabbings, MVC, Falls, etc.;
Respiratory illnesses, Seizures, Abdominal illnesses and infections, ETOH/CIWA, IVDA, Mental Health
Medical-Surgical Floors:
o 3 Med Surg (Overflow & Difficult to place patients 27 beds):
Syncope, Fever and Chills, Intractable N/V, Failure to thrive, Cellulitis, Vascular dementia, Cerebrovascular disease, History of CVA.
o 3 North (Oncology 20 beds):
Immunocompromise patients, Cancer pts , end of life care, respite, palliative care patients, do chemo infusions (This floor will be moving to 2 Med Surg on Northeast building soon).
o 4 East (Ortho 16 beds):
Medical and surgical ortho patients including fractures of different bones and joints (open & closed), MVC, trauma, Buck s traction.
o 4 South (General Surgery & Trauma 36 beds):
Ureteral stone, Goiter, Hernia, Uterine Fibroids, Renal Mass, Diverticulitis with perforation, MVC, trauma, Bowel Obstruction, Breast Cancer for Mastectomy, Hematuria (irrigation), Fetal demise, DNC.
o 4 Central (Pulmonology 22 beds):
Acute respiratory failure, Hyperglycemia, Sepsis, Metabolic Encephalopathy, Dementia, COPD, Acute Kidney Injury, Failure to thrive, Pneumonia (This floor takes glucommander).
o 6 Central (Vascular & Bariatric Surgery 19 beds):
End stage renal disease, Foot ulcer, Peripheral Vascular Disease, Morbid Obesity (take vascular and gastric bypass surgeries, also take glucommander).
Critical Care Areas:
o 4 West (Neurology Stepdown 23 beds):
Stroke, Seizures, Back pain, Lumbar surgery, s/p craniotomy, lumbar drains, AMS, Aphasia (This floor takes glucommander, Cardiac titratable drips).
o 5 West (Cardiac Stepdown 34 beds):
Chest pain, S/p Cardiac angiography with or without PTCA, CHF, Cardiomyopathy, Pneumonia, Palpitations, Syncope, Arrythmias, Angioedema, Hyponatremia, AMS, Sepsis, Acute Coronary Syndrome, A-Fib, Heart Block (takes glucommander, cardiac titratable drips, also do aqua pheresis).
o Observation unit (Decision Unit & Overflow for 5 West 11 beds):
Facial numbness, CAD, A-Fib with RVR, Stroke-like symptoms, Chest pain, right or left sided weakness, Acute respiratory failure (takes cardiac titratable drips, bedside cardiac monitors in all rooms).
o ICU (Medical, Surgical, Neuro, Cardiac all combined 26 beds):
Drug overdose, Psychosis, MI, Subarachnoid hemorrhage, MVC, Sepsis, ARF, AAA, Acute hypoxic respiratory failure, Hypoglycemia, Pneumonia, Suicide attempt (has pts on Life link, CRRT, Intra-aortic balloon pump).
Required License, National Certification, Certifications (BLS, ACLS, NIHSS, etc.), or other position specific requirements such as Driver's License and/or Insurance:
o PCU and Med/Tele RN: ACLS, BLS, NIHSS, and CPI (we will offer this if they do not have CPI) for all nurses

Skills required:

o Med/Tele RN:
Basic arrythmia interpretation, Foley catheter irrigation, PCA, Epidural, CPM, Buck s traction, Drains & chest tube management
o Nursing skills, with knowledge of cardiac drips, neuro, cardiac, pulmonary, ortho, trauma, and surgical patients.
At our facility, we require 2 nurses to place foley catheter
Support within the Department:
o CNA/ Nurse techs
o Respiratory Therapists
o Phlebotomists
o Educator
o Staffing specialist
o Timekeeper/ Payroll specialist
o Safety sitters
o Virtual Patient Observers (VPO)
o Virtual RN (currently on 4 West)
o Security
Technology/Equipment:
o EMR: EPIC
o Department specific Equipment- depends on the units, Glucommander, cardiac monitors, Precision BBG monitor, specialty beds, alarms, bed and chair alarms, BiPap, ventilators, Alaris pumps, Virtual RN, Virtual Patient Observer.
Floating:
If yes, where?
o All med surg and Critical Care Areas (including ED boarders). If ICU or ER, we do use those as…