Advanced Cardiac Life Support (ACLS), Basic Life Support (BLS), Blood Bank, Cardiac Monitoring, Cerebral Vascular Accident, Clinical Assessment, Discharge Plans, Driver's License, Heparin, Hospital, Identify Issues, Insulin, Insurance, Pain Management, Patient Education, Registered Nurse (RN), Telemetry, Time Management, Titration, Tracheotomy, Unit Secretary
JOB DESCRIPTION
RN - MedSurg/Tele
About Facility:
777 Hemlock St, Macon, GA 31201
637 Licensed Beds
Level 1 Trauma Designation
Teaching Hospital
Chest Pain Center
Stroke Center
Unit Information:
Beds: 16
Avg Census – 16 patients
Minimum Years of Experience required? 2 years – Med/Tele RN experience
Will you accept a first-time traveler? Yes
Patient Types/Common Diagnoses:
Chest pain, syncope/vomiting, abdominal pain, cellulitis, COPD exacerbation, heart failure observation, dehydration, hypertension, diabetes, POD#1 requiring hospital stay overnight, simple trauma, MVC, fall
Waiting an Inpatient Room for admission (used to decompress the ER)
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:
RN License (associate s degree at a minimum)
BLS, ACLS, and NIHSS required
BCR (Basic Cardiac Rhythm) – test completed during onboarding
Skills required:
trach care, chest tube management, PIV starts, glucommander, insulin drips (required), heparin drips, drips to titrate to HR NOT BP
Strong clinical assessment and time management
IV insertion and Maintenance skills
Cardiac monitoring and interpretation
Care coordination with interdisciplinary teams
Discharge planning knowledge and patient education
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
Unit secretary on unit 7a-11p; then house wide call secretary 11p-7a
Charge nurse – may or may not have patient assignment
Phlebotomy: Most units are lab collect phlebotomy; nurses drawn from CVLs
IV/VAT Team? No IV team- do have a PICC team
Resource Nurse? Yes, we have discharge nurses and 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 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?
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
Unit will bed patients to this unit from the ER that are waiting on an Inpatient Admission Bed
High turnover of patients
Shift
12hr Night Shift - 36
Shift Information
7P-7A
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
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