RN - MedSurg/Tele - Contract

Shift: 12hr Night Shift - 36

Shift Information: 7p-7a

Clinical Interviewing- yes

On Call, Call Back Requirements: None

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

Holiday Requirements: work one shift of each major holiday (Thanksgiving Day or day after + 12/24 or 12/25 + 12/31 or 1/1

Floating Requirements: float to SNU and ER for med surg holds

RN - MedSurg/Tele

About Facility:
140 licensed beds
Level 3 Trauma Designation
Unit Information:
o Beds: 24
Census 24

Minimum Years of Experience required: 2 years Med/Tele experience
o Will you accept a first-time traveler: yes

Patient Types/Common Diagnoses:
o Patients with acute or chronic disease
o Post-op surgeries
o Co-morbidities common to med-surg population: diabetes, hypertension, infections, CHF, electrolytes imbalances

Patient Ratios:
o RN: 1:4-6
o LPN: 1:4-6
o CNA: 2-3 per shift

Required License, National Certification, Certs (BLS, ACLS, etc.), or other position specific requirements such as Driver's License and/or Insurance:
o Active RN License (GA)
o BLS (Basic Life Support) required
o BCR (Basic Cardiac Rythm) required
o ACLS - preferred not required
o National certification- Medical-surgical certification -preferred but not required

Skills required:
o trach chare, chest tube management, PIV starts, glucommander, insulin drips, heparin drips, drips to titrate to HR NOT BP
o Strong clinical assessment and med-surg nursing skills for Level 1 Trauma Hospital
o IV insertion and care, central line management
o Wound care and post op monitoring
o Cardiac monitoring and telemetry interpretation
o Care coordination with interdisciplinary teams
o Discharge planning and patient education

Support within the Department:
o CNA Duties Yes - 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
o Receptionist/HUC Unit secretary on unit
o Charge nurse yes- each unit
o Phlebotomy Most units are lab collect phlebotomy; nurses drawn from CVLs
o IV/VAT Team No IV or VAT
o Resource Nurse
o RT 24/7 yes
o Hospitalist 24/7
o Intensivist, 24/7
o Telemetry monitoring/tech Central Telemetry Unit

Technology/Equipment:
o EMR: EPIC
o IV Pump: Alaris
o Med dispensing: Omnicell
o Monitors: Phillips
o 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: If yes, where
o All adult med surg / telemetry units in house
Orientation (facility and unit):
o 1 day orientation with work on educational modules
o 2 days departmental

Scheduling:
o Weekend rotation: 5-6 weekend shifts out of 12 (on a 6-week schedule)
o On call If so, what is that schedule No call
o Holiday Expectations: work one shift of each major holiday (Thanksgiving Day or day after 12/24 or 12/25 12/31 or 1/1
o RTO Requests: Manager approval
o Shift times: 12-hour shifts - 7A-7P or 7P-7A
o Schedule cycle: ex) every 6 weeks

Other notes:
o Scrub Color: RN- Navy; LPN- Ceil Blue
o Parking: Free Free Parking
o Unit Culture: busy but work as team


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