RN - MedSurg/Tele

RN - MedSurg/Tele

●       ABOUT FACILITY:

o   637 licensed beds

o   Level 1 Trauma Designation

o   Teaching Hospital

o   Chest Pain Center

o   Stroke Center

●       UNIT INFORMATION:

o   Beds: 20

▪        Census? 20

o   Minimum Years of Experience required? 2 years

o   Will you accept a first-time traveler? Yes

●       PATIENT TYPES/COMMON DIAGNOSES:

o   Patients with acute or chronic kidney disease, including end-stage disease (ESRD), HD patients

o   Peritoneal dialysis patients (inpatient treatments done on the unit)

o   Post-op urology or renal- related surgeries

o   Co-morbidities common to med-surg population: diabetes, hypertension, infections, CHF, electrolytes imbalances

o   Medical management of anemia, fluid overload, and renal-related complications 

●       PATIENT RATIOS:

o   RN: 1:4-6

o   LPN: 1:4-6

o   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:

o   BLS, BCR (Basic Cardiac Rythm) are required

o   ACLS - preferred

o   National certification: Medical-Surgical certification or Nephrology Nursing certification - preferred

●       SKILLS REQUIRED:

o   trach chare, chest tube management, PIV starts, glucomander, insulin drips, heparin drips, drips to titrate to HR NOT BP

o   Strong clinical assessment and med-surg nursing skills 

o   Management of peritoneal dialysis (manual and cycler, training provided if needed) 

o   IV insertion and care, central line management

o   Wound care and post op monitoring 

o   Cardiac monitoring and telemetry interpretation

o   Care coordination with interdisciplinary teams

o   Discharge planning and patient education, particularly on renal and fluid management 

●       SUPPORT WITHIN THE DEPARTMENT:

o   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

o   Receptionist/HUC?  Unit secretary on unit 7a-11p; then house wide call secretary 11p-7a

o   Charge nurse - each unit

o   Phlebotomy: Most units are lab collect phlebotomy; nurses drawn from CVLs

o   IV/VAT Team?  Not an IV team- do have a PICC team

o   RT, 24/7

o   Hospitalist, 24/7

o   Intensivist, 24/7

o   Telemetry monitoring/tech? Central Telemetry Unit

●       TECHNOLOGY/EQUIPMENT:

o   EMR: EPIC

o   IV Pump: Alaris

o   Med dispensing: Pyxis

o   Monitors: Phillips

o   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?

o   All adult med surg / telemetry units in house

●       ORIENTATION (facility and unit):

o   1 day orientation with work on educational modules

o   2 days departmental

●       SCHEDULING:

o   Weekend rotation: 5-6 weekend shifts out of 12 (on a 6-week schedule)

o   On call? If so, what is that schedule? No call

o   Holiday Expectations: work one shift of each major holiday (Thanksgiving Day or day after + 12/24 or 12/25 + 12/31 or 1/1

o   RTO Requests: Manager approval

o   Shift times: 7A-7P or 7P-7A

o   Schedule cycle: ex) every 6 weeks

●       OTHER NOTES:

o   Scrub Color: RN - Navy; LPN - Ceil Blue

o   Parking: Free? Have free parking around campus or can pay to park in parking decks

o   Unit Culture: busy but work as team