RN - MedSurg/Tele

Title: RN- Med Surg / Telemetry

Location: Macon Georgia 31201

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: 20
• Census: 20

Minimum Years of Experience required: 2 years

Will you accept a first-time traveler: Yes

Patient Types/Common Diagnoses:

• Patients with acute or chronic kidney disease, including end-stage disease (ESRD), HD patients
• Peritoneal dialysis patients (inpatient treatments done on the unit)
• Post-op urology or renal- related surgeries
• Co-morbidities common to med-surg population: diabetes, hypertension, infections, CHF, electrolytes imbalances
• Medical management of anemia, fluid overload, and renal-related complications

Patient Ratios:

• RN: 1:4-6
• LPN: 1:4-6
• CNA: 1-2 per shift

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

• BLS, BCR (Basic Cardiac Rythm) are required
• ACLS - preferred
• National certification: Medical-Surgical certification or Nephrology Nursing certification - preferred

Skills required:

• trach chare, chest tube management, PIV starts, glucomander, insulin drips, heparin drips, drips to titrate to HR NOT BP
• Strong clinical assessment and med-surg nursing skills
• Management of peritoneal dialysis (manual and cycler, training provided if needed)
• IV insertion and care, central line management
• Wound care and post op monitoring
• Cardiac monitoring and telemetry interpretation
• Care coordination with interdisciplinary teams
• Discharge planning and patient education, particularly on renal and fluid management

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
• Receptionist/HUC: Unit secretary on unit 7a-11p; then house wide call secretary 11p-7a
• Charge nurse - each unit
• Phlebotomy: Most units are lab collect phlebotomy; nurses drawn from CVLs
• IV/VAT Team: Not an IV team- do have a PICC team
• 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
• Peritoneal dialysis equipment (Home choice)

Floating: If yes, where: All adult med surg / telemetry units in house

Orientation (facility and unit):

• 1 day orientation with work on educational modules
• 2 days departmental

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 but work as team

 

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