Float Pool Registered Nurse - Contract

Title: Float Pool Registered Nurse

Location: Grafton Wisconsin 53024

Duration: 13 Weeks

Shift: 12hr Night Shift (36)

Shift Information: 7P-7A

Clinical Interviewing- Yes

On Call, Call Back Requirements: None

Weekend Rotation: EOW

Holiday Requirements: Every Other based on start date and department needs

Floating Requirements: Yes - Float Pool Position

About Facility:

• Level III Trauma Center
• Level II NICU
• Primary Stroke Center
• Beds: 136

Unit Information:

• Beds: varies based off unit
• Census: Average patients/day: varies

Minimum Years of Experience required: 2 years
Will you accept a first-time traveler: Yes

Patient Types/Common Diagnoses:

• MedSurg 1: General Surgical (18 beds)
  • SBO, hemicolectomy, thyroidectomy, prostatectomy, mastectomy, Client, COVID, respiratory, sepsis, cellulitis, IVDA, Bipap, CPAP, nitric oxide, cardiac/neuro overflow, Cardizem drip
• MedSurg 2: Cardiac Neuro (18 beds)
  • Cardiac/Tele, post-cath, CHF, a-fib, strokes, TIA, ALOC, dementia, sepsis, Client, COPD, DKA, AKI
• MedSurg 3: Oncology (18 beds)
  • Neutropenic, various cancers, psych, COPD, CHF, sepsis, DVT, AKI, dialysis
• MedSurg 4: Ortho (16 beds MS4W 10 MS4E 6)
  • Post-surgical ortho to include total joints, ORIF, external fixation, and other general surgeries to include GI, GU, GYN, ENT
• 3W PCU (16 beds)
  • Higher acuity medical, surgical, and cardiac patients. 24h post open heart, SVT, a-fib, sepsis, bariatrics, CKD/HD
  • Observation for chest pain, post-cath, back pain, post-surg, general observation stay with goal of 24h or less
• Admission Holding Unit (14 beds)
  • Stable fresh surgical patients that have gone through Phase 1 and Phase 2 of PACU. Surgeries to include ortho (total joint, ORIFs), GI (gallbladder, GYN, vascular), GYN, plastics, ENT. Could also see general medical patients.
  • Goal of less than 24h turnaround. Cardiac/Tele monitoring
• ED Holding Extension and Surgical Overflow
  • General medical patients that are waiting for a MedSurg bed

Patient Ratios:

• RN:
  • Days: 1:5
  • Nights: 1:6
• CNA:
  • Days: 1:6
  • Nights: 1:9

Required License, National Certification, Certs:

• RN: BLS, ACLS, NIHSS
• CNA: BLS, WI license

Skills required:

• RN:
  • Good general MedSurg/Tele skillset needed. Tele experience required
  • Cardiac rhythm interpretation, drain management (JP, hemovacs), wound vacs, NGT placement and management, central and PICC line management, central line blood draws, CBI, dressing changes, wound care
• CNA:
  • Prioritizing patient safety, knowledgeable on lift equipment, assisting with ADLs (feeding, bathing, ambulating, toileting, weighing), able to measure and document I&O, assist with admissions/transfers, collection of specimen (stool, urine), able to use EMR, blood sugar checks, maintaining skin integrity, turning patients, placing patients on tele monitors

Support within the Department:

• Charge RN, will take reduced patient assignment
• HUC during the day
• RT 24/7
• Hospitalist 24/7
• Phlebotomy for peripheral lab draws
• Centralized tele monitoring with tech

Technology/Equipment:

• EMR: EPIC - preferred
• IV Pump: Alaris
• Med dispensing: Pyxis
• Monitors
• Unit specific equipment

Floating:

• RN: Will float to all MedSurg units listed above throughout hospital and wherever needed within the facility. Could also float to act as a helping hand or sitter. Could float to ICU/PCU to care for MedSurg/Tele level patients or act as a helping hand/sitter. Will not take ICU or PCU patient assignment
• CNA: will float to all units and wherever needed within the facility

Orientation (facility and unit) :

• NEO FP manager will choose which MS unit to orient to
• 1 shift of orientation will meet with Nurse Educator and remainder of shift will be on the floor with a preceptor

Scheduling:

• Weekend rotation: every other
• On call: No call, but low census is tracked per contract with 36h cancellation per 13-week contract
• Holiday Expectations: every other based on start date and department needs
• Approval of RTO: to go through manager
• Shift times: 0700-1930, 1900-0730
• Schedule cycle: schedule made in 6-week increments and will receive 1-2 weeks prior to schedule beginning

Other notes:

• Scrub Color: Any solid color, professional. No graphics, logos, designs. Protective footwear that is wipeable. No earbuds or AirPods
• Parking: Free
• Unit Culture: Team oriented, strong teamwork, great CNA/RN relationship, supportive

#TB_RN