Unit Notes
Profile review+Manager Interview
SIMs Lab: All RNs will be expected to complete SIMs Lab for Foley catheter insertion & central line dressing changes. NOTE - SIMs lab is pass/fail & nurses have been termed during SIMs Lab for breaking sterile field. Those travelers that understand sterile field typically pass SIMs Lab skills (See separate notes for the specific checklist IF traveler asks for additional details). The hospital expects that every nurse is competent in these areas, especially maintaining sterile field, as these are nursing skills that are performed frequently. NOTE: if a candidate indicates that they are not competent in either of these areas, they are probably not a good fit. In addition to SIMs Lab, they will also go through lifts, restraints, & wound care, but these are just educational based since the equipment & policies can be different facility to facility.
Clinician must take and pass dysrhythmia exam within two attempts prior to signing contract. If clinician fails to score 80% in two attempts, then they will be DNU for CS AZ and Sacramento for 6 months.
Radius Rule: 50 miles AND candidates may not be full time, part time, or PRN with any facility associated with CommonSpirit, including CHI and/or Dignity within the past year.
ER/Trauma Center
# beds/trauma bays 20
Do you have a Fast track intake model
Do you have a separate Triage area & do you allow/require travelers to do Triage? yes and yes if needed
Do you have a separate holding area in the ER or are ER holds intermixed w/in the ER?
Do ER RN's manage their own ER holds? holds are intermmixed. sometimes staffing resources can send a floor RN to help with holds, but otherwise ED RNs manage their own holds as part of their 1:4 assignment.
Do you have separate Psych/seclusion rooms? One seclusion room
In-house Security yes
# patients per day Avergae 105 pts per 24 hours
Ratios 1:4, except for intake areas which are team care, no set ratio
Required Certifications ACLS, PALS, TNCC, NIHSS, BLS
Common diagnoses/Types of patients abd pain, chest pain, MI, stroke, geriatrics, high-acuity
Experience or 'Must have' skills minimum 2 years ED experience, Cerner exp preferred
ED Physicians/Mid-Levels Both, 2-4 providers on throughout the day
Charge Nurse/House Supervisor Yes both
Nurse Aids/Paramedics/Patient sitters Yes ED Techs, Paramedics, pt sitters when staffing can provide
EMR Cerner
RT Equipment (Vents, Cpap, BiPap, High Flow, etc.) Does RT do ABG's, breathing tx, EGS's? Yes all equipment used regularly. RT does ABGs and SVNs, ED staff do EKGs
Is there tele on this unit? Monitor Techs? RNs read strips? Yes central monitoring for all beds and halls except intake. No monitor techs. RNs read strips
X-Ray or CT in the ER? Transport? Radiology is adjacent to ED. Have house transporters, not always available
Phlebotomy or nurse draw Nurse or ED Techs draw off IV starts, phleb for other draws or blood cultures
Shifts & Scheduling midshifts may be 11-11, 12-12, or 2-2, nights 1900-0700. We prefer to give travelers block schedule rotations.
Weekend Requirement Every other weekend is the minimum
Holiday Requirement Same as staff holiday rotations, 2 major holidays per year
Is there a call or standby requirement? Yes, two 12 hr on-call shifts per 4 weeks schedule.
Floating Requirements East and West campus ED floating only
Scrub Color/Dress Code Navy Blue
Unit/Department specific orientation Eme