RN - MedSurg/Tele New

●      About Facility:

o   109 Licensed Beds

o   No Trauma Designation

o   Not a Teaching Hospital – no residents/students

o   Advanced Primary Stroke Center

o   Radius rule: Traveler’s permanent address must be 50 miles outside of home unit

●      Unit Information:

o   Beds: 35

▪       Average Census: 22

o   Minimum Experience required: 2 years Med/Tele RN exp (Resource Team requirement)

o   Will you accept a first-time traveler? Not preferred, will consider

●      Patient Types/Common Diagnoses:

o   General Med/Surg patients – Stroke, CHF, COPD, Respiratory Illnesses, Diabetes, Post-Surgical, Behavioral Health, etc.

●      Patient Ratios:

o   RN: 1:5

o   LPN (if applicable): 1:5

o   CNA: 1:10

●      Required License, National Certification, Certs (BLS, ACLS, etc.), or other position specific requirements such as Driver's License and/or Insurance:

o   BLS, ACLS, NIHSS (Resource Team requirement)

●      Skills required:

o   Post-op care, Orthopedic experience, TPN, PPN

o   General Med/Tele skillset: Stroke experience/NIH assessments, Chest tube management, PIV starts, trach care, Cardiac rhythm interpretation, NGT placement, drain/tube management (Dobhoff, PEG tubes, Hemovac, JP drains, flexiseals, foley insertion/management, etc), PCA pumps, wound care

o   Medication gtt management to include: Cardiac drips (Diltiazem), Heparin, blood products, IVF

●      Support within the Department:

o   CNA? Duties?  Yes – all duties within scope

o   Receptionist/HUC? Only on dayshift

o   Charge nurse – may or may not be in staffing

o   Phlebotomy

o   IV/VAT Team, only on dayshift

o   Resource Nurse – as staffing allows

o   RT, 24/7

o   Hospitalist, 24/7

o   Intensivist, 24/7

o   Telemetry monitoring/tech – available for this unit but RN will have to read own Tele strips when floated to other units

●      Technology/Equipment:

o   EMR: EPIC

o   IV Pump: Alaris

o   Med dispensing: Omnicell

o   Monitors: Phillips

o   Unit specific equipment: Masimo

●      Floating: If yes, where?

o   Within Stanly - Med/Tele, ICU, PCU (if open), ED

o   Within region and scope of practice

o   Will be required to float per region needs – will require floating to all facilities listed below, as needed, within scope of practice – DECLINE if not agreeable

▪        Region 1 - Cabarrus, University City, Stanly, Lake Norman, Central Division (CClient Main Mercy LCH (peds only) -- could float to any of the facilities within region if the need arises

▪       If floating mid-shift, Traveler will be paid for the time traveling between facilities (will remain on the clock)

●      Orientation (facility and unit):

o   NEO

o   2 days departmental (we complete 3 days orientation at Stanly)

●      Other notes:

o   Scrub Color: Navy

o   Parking: Free

o   Unit Culture: Teamwork