Lamb Company, Inc.
RN - MedSurg/Tele
● ABOUT FACILITY:
o 1 Medical Center Blvd. Winston-Salem, NC 27103
o 885 licensed beds
o Level 1 Trauma Designation
o Teaching Hospital: Yes, Academic Medical Center
o Chest Pain Center
o Stroke Center
● UNIT INFORMATION:
o Beds: 20 beds total, 10 in 5A and 10 in 5B
o Minimum Years of Experience required? 2 years of MedSurg experience
o Will you accept a first-time traveler? No
● PATIENT TYPES/COMMON DIAGNOSES:
o Transitional Care Unit
o General MedSurg: CHF, COPD, kidney/liver/GI/respiratory issues, CIWA patients, infections, wounds, etc.
o Mostly medical patients seen on this unit, but any service line can admit, so could see some general surgeries and other patients
● PATIENT RATIOS:
o 1:5
● REQUIRED LICENSE, NATIONAL CERTIFICATION, CERTS:
o BLS, ACLS
● SKILLS REQUIRED:
o Trachs, chest tubes, IV starts, wound care, dressing changes, wound vacs, drains, cardiac rhythm interpretation (will check off on strips during shift), central line blood draws
o Non-titrating Drips (required): Heparin, Lasix, Protonix
o Non-titrating Drips (preferred): Cardizem, Amiodarone (please note in offer if they have this experience. Can teach here if no experience)
● SUPPORT WITHIN THE DEPARTMENT:
o 1 CNA for 5A, 1 CNA for 5B
o 1 Charge to cover both areas, could take patients if needed
o Receptionist/HUC? No
o Phlebotomy 24/7 – RNs could collect labs as well
o RT 24/7
o Hospitalist 24/7
o Residents 24/7
o Telemetry monitoring/tech? Bedside monitors w/ central monitor at nurses’ station
● TECHNOLOGY/EQUIPMENT:
o EMR: EPIC
o IV Pump: Alaris
o Med dispensing: Omnicell
● FLOATING: IF YES, WHERE?
o Could float within scope of practice at hospital
● ORIENTATION (facility and unit):
o NEO
o 2 shifts on unit to orient
● SCHEDULING:
o Weekend rotation: Every other
o On call? No
o Holiday Expectations: 50% of holidays in contract
o Approval of RTO: ok to approve up to 7 days
o Shift times: 1830-0700
o Schedule cycle: Scheduler will make schedule 6-week increments. Travelers will be plugged into holes in the schedule
▪ Do not allow traveler overtime unless approved through upper leadership (not common)
● OTHER NOTES:
o Scrub Color: Royal Blue
o Parking: Free