SkyBridge Healthcare
Travel RN - Tele/Stepdown - Wheeling, WV
# beds 30-Beds (14 Private & 16 Semi-private)
Certs BLS & ACLS
Ratios The goal for ratios is 1:4; however, they are usually running 1:5. Occasionally could be 1:6
EMR Sunrise
Charge Nurse/House Supervisor "Charge nurses take a full patient assignment on both day & night shift
Also has a Clinical Assistant who works 2, 12's (on the floor w/ a patient assignment) & 2, 8's in the office."
Nurse Aides Usually have 2-3 CNA's w/ ratios 1:10-12
Weekend Requirement "Fri/Sat/Sun are all considered weekend shifts.
Nights has to work 4 weekend night shifts/4 week schedule.
Days has to work 4 weekend day shifts/4 week schedule; however, no one on this unit truly works straight days. Anyone who works straight days is required to work a minimum of 3 night shifts/4 week schedule. The 3 night shifts do not have to be on the weekend. The only shift that is considered a straight shift is nights. "
Holidays Travelers must be flexible if they need them to work holidays; however, they don't usually have to work many holidays as they are typically covered by the perm staff.
Scrub Color RN's: Navy blue top & bottom, navy scrub jackets, no hoodies
Tele Monitors Nihon Kohden
Do nurses read strips? They have Tele Techs but RN's must be able to ready & interpret their own strips
Drips RN's must be able to titrate drips: Amiodarone, Cardizem, Dopamine, Dobutamine, Labetolol, Nitro, & Heparin. Occasionally Lasix.
Vents " All respiratory equipment is managed by RT
(AirVo - high flow, Respironics - Bipap)"
Hospitalist or Intensivist in house "Hospitalist in-house 24/7
Intensivist in the ICU 24/7
Also have residence in-house 24/7 "
IV Team "IV team in-house 24/7 & also have a PICC/Midline team
NOTE: The IV team does all IV starts"
RT 24/7 RT is in-house 24/7
Pharmacy 24/7 Pharmacy is in-house 24/7 - Pyxis
Shifts "12's: Must be on the unit ready to go by 6:45 am/pm. Shifts run from 7a - 7p.
Self-scheduling is allowed as long as the needs of the unit are met. Staff are allowed 4 requested days off per month"
Floating All staff are required to float as needed into the rotation (Tele or MedSurg) w/ ratios up to 1:6, possibly 1:7 in MedSurg (not common) Also expected to go to Pandemic Unit
Floor specific orientation The 1st day is spent with HR for approximately 4 hours, then the remaining 8 hours would be on the unit w/ a preceptor, as well as the 2nd day on the unit w/ a preceptor. After this they will be on their own
Common diagnosis / Types of patients Chest pain, r/o MI, CHF, Arrhythmias, post pacer, pre/post Caths (manage radial bands & remove but do not pull sheaths), groin checks, any other overflow patients that required intermediate care acuity, they rarely get chest tubes. They also manage patients on Tikosyn therapy.
Triage
American Mobile Healthcare
Lancesoft INC
SkyBridge Healthcare
Triage
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