RN - MedSurg/Tele - Contract

Title: RN- Med Surg/ Telemetry

Location: Macon Georgia

Duration: 13 Weeks

Shift: 12hr Day Shift - 36

Shift Information: 7A-7P

Clinical Interviewing- Yes - Manager Approval to Offer

On Call, Call Back Requirements: None

Weekend Rotation: 6 shifts on a 6 week schedule (6 out of 12 shifts)

Holiday Requirements: Travelers will work 75% of holidays

Floating Requirements: All med surg / telemetry units

About Facility:

• 637 Licensed Beds
• Level 1 Trauma Designation
• Teaching Hospital
• Chest Pain Center
• Stroke Center

Unit Information: Beds: Each Med Surg unit has 20-36 beds

Minimum Years of Experience required: 2 years Med/Tele RN exp

Will you accept a first-time traveler: Yes

Patient Types/Common Diagnoses:

• Med surg / Telemetry all inpatient med surg units
• Common diagnoses include but are not limited to:
  • Patients with acute or chronic disease
• Co-morbidities common to med-surg population: diabetes, hypertension, infections, electrolytes imbalances, etc.
• Cardiac patients: post-cath, CHF, a-fib
• Post surgical: General, Ortho, Trauma

Patient Ratios:

• RN: 1:4-6
• LPN: 1:4-6
• CNA: up to 1:14

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

• BLS required
• ACLS preferred traveler will be required to pass and EKG competency exam during onboarding
• Certification in med surg is a plus

Skills required:

• Trach chare, chest tube management, PIV starts and IV maintenance, glucommander, strong assessment and time management skills, care coordination with interdisciplinary team, discharge planning knowledge, patient education
• Tele skills (required): monitoring and interpreting cardiac rhythms, post-cath, TR bands, post-cath groin site management (no sheath pulls)
• Drips (required): insulin, heparin, Cardizem, amiodarone, milrinone, Digoxin, nicardipine. Could titrate drips for HR but not for BP

Support within the Department:

• CNA will assist with Vitals, blood glucose checks, baths, bed changes, feeding if need, patient safety attendant; walk pts, turn pts
• Unit Secretary: on unit 7a-11p; then house wide call secretary 11p-7a
• Charge nurse: may or may not have patients
• Phlebotomy: Most units are lab collect phlebotomy; RNs draw off of CVLs
• IV/VAT Team: Not an IV team - do have a PICC team
• Resource Nurse: Yes, we have discharge nurses, and the 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,

Floating: If yes, where: Travelers are utilized in a float pool capacity will be required to float to all Med/Tele units in house, as needed
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)
• No call
• Holiday Expectations: work one shift of each major holiday (Thanksgiving Day or day after + 12/24 or 12/25 + 12/31 or 1/1)
• RTO Requests: MUST go through Manager for approval
• Shift times: 12-hour shifts
  • 7A-7P or 7P-7A
• Schedule cycle: every 6 weeks

Other notes:

• Scrub Color: RN- Navy; LPN- Ceil Blue
• Parking: Free: Have free parking around campus or can pay to park in parking decks
• Unit Culture: Busy; Team Oriented

#TB_HC and #ZRHC