RN Tele - Contract

Title: RN Tele 

Location: Cudahy Wisconsin 53110

Duration: 13 Weeks

Shift: 12hr Night Shift (36)

Shift Information: 1900-0700

Clinical Interviewing- Yes, send to manager for 2nd interview

On Call, Call Back Requirements: Only low census. Could be placed on low census call for up to 36h per contract

Weekend Rotation: EOW

Holiday Requirements: 50% of holidays per contract

Floating Requirements: Could float and take patient assignment on other MedSurg units or anywhere in the hospital MedSurg patients are located, including ER hold, ICU, etc. Will only take a MedSurg patient assignment

 

About Facility:

• Level IV Trauma Center
• Beds: 100

Unit Information:

• Beds: 28
• Census: Average patients/day: 20-22

Minimum Years of Experience required: 1 year MedSurg/Tele experience

• Will you accept a first-time traveler: Yes

Patient Types/Common Diagnoses:

• Mostly geriatric patients
• Cardiac: CHF, chest pain obs. No Cath Lab on site. If patient needs cath, will be transferred to St. Luke s MC.
• Neuro: seizure obs, stroke obs, TIA vs. stroke rule out, altered mental status
• General Medical: COPD, respiratory/kidney/liver/GI issues

Patient Ratios:

• RN:
  • Days: 1:4-5
  • Nights: 1:6-7, can go up to 1:8, but not common
• CNA:
  • Days: 1:5-6
  • Nights: 1:7-8

Required License, National Certification, Certs:

• RN: BLS, NIHSS; ACLS preferred
• CNA: BLS

Skills required:

• RN: Experience with above patient types, NG tube placement/management, foley placement/management, chest tube management, Pleurex and other drains, wound care, central line/ports/midline blood draws, cardiac rhythm interpretation
  • Drips (possible to titrate within set parameters): Cardizem, amiodarone, heparin, Lasix, insulin
• CNA: assist with ambulation, patient ADLs, vitals, I/O, blood sugar checks. Can remove peripheral IVs

Support within the Department:

• Charge RN will take reduced patient assignment
• HUC until 2300
• Phlebotomy for peripheral lab draws
• RT 24/7
• Hospitalist 24/7
• OT/PT/ST during the day
• Centralized tele monitoring with tele techs, central monitor also at the nurse s station

Technology/Equipment:

• EMR: EPIC
• IV Pump: Alaris
• Med dispensing: Pyxis
• Monitors:
• Unit specific equipment: different lifts for patients, including ceiling lift

Floating: If yes, where:

• Could float and take patient assignment on other MedSurg units or anywhere in the hospital MedSurg patients are located, including ER hold, ICU, etc. Will only take a MedSurg patient assignment

Orientation (facility and unit) :

• NEO
• One 12h shift on the unit to learn the flow

Scheduling:

• Weekend rotation: Every other
• On call: Only low census. Could be placed on low census call for up to 36h per contract
• Holiday Expectations: 50% of holidays per contract
• Approval of RTO: to go through manager
• Shift times: 0700-1930, 1900-0730
• Schedule cycle: Manager makes schedule in 6-week increments and released around 3-weeks prior to schedule beginning

Other notes:

• Scrub Color: Any solid color, professional. No graphics, logos, denim, or designs.
• Parking: Free employee parking lot
• Unit Culture: currently working on culture and engagement. There is a lot of work being done on the unit. The teams work well together and are supportive of one another

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