RN - MedSurg/Tele

Title: RN medSurg/Tele

Location: Macon Georgia 31201

Duration: 13 Weeks

Shift: 12hr Day Shift - 36 Shift Information: 7A-7P Clinical Interviewing: Yes - Manager Approval to Offer 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
RN - MedSurg/Tele

About Facility:

• 637 licensed beds
• Level 1 Trauma Designation
• Teaching Hospital
• Chest Pain Center
• Stroke Center

Unit Information:

• Beds: 23
• Census: 10-23

Minimum Years of Experience required:

• 2 years Med/Tele RN experience
• o Will you accept a first-time traveler: Yes

Patient Types/Common Diagnoses:

• Hip, Knee, shoulder replacement surgeries, bariatric surgeries, spinal surgeries (TLIF, ACDF, lumbar fusion etc.)
• Cardiac drips (non-titratable) and insulin drips, Chest tubes, wound vacs, trachs, PCA pumps for pain control
• Patients with acute or chronic disease
• Post-op surgeries
• Co-morbidities common to med-surg population: diabetes, hypertension, infections, CHF, electrolytes imbalances

Patient Ratios:

• RN: 1:4-6
• LPN: 1:4-6
• CNA: 2-3 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 required
• o BCR (Basic Cardiac Rythm) are required meaning traveler will be required to pass an EKG competency exam as part of Compliance
• o ACLS - preferred
• o National certification- Medical-surgical certification or nephrology nursing -preferred but not required

Skills required:

• o Trach chare, chest tube management, PIV starts, glucommander, insulin drips, heparin drips, drips to titrate to HR NOT BP
• o Strong clinical assessment and med-surg nursing skills for Level 1 Trauma Hospital
• 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:

• CNA: Duties: Yes - 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
• Receptionist/HUC: Unit secretary on unit 7a-11p; then house wide call secretary 11p-7a
• Charge nurse may have patients
• Phlebotomy: Most units are lab collect phlebotomy; nurses drawn from CVLs
• IV/VAT Team: Not an IV team - do have a PICC team
• Resource Nurse: Yes, we have discharge nurses, resource team floats to all units
• RT 24/7: yes
• Hospitalist 24/7: yes
• Intensivist 24/7: yes
• Telemetry monitoring/tech: Central Telemetry Unit

Technology/Equipment:

• EMR: EPIC
• IV Pump: Alaris
• Med dispensing: Pyxis
• 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
• External fixators, chest tubes, JP drains and Hemovac drains
• 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

Scheduling:

• Weekend rotation: 5-6 weekend shifts out of 12 (on a 6-week schedule)
• On call: If so, what is that schedule: No call
• Holiday Expectations: work one shift of each major holiday (Thanksgiving Day or day after + 12/24 or 12/25 + 12/31 or 1/1
• RTO Requests: Manager approval
• Shift times: 12-hour shifts 7A-7P or 7P-7A
• Schedule cycle: every 6 weeks

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

#TB_HC and #ZRHC

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