Telemetry

Opportunity:

RN - Med Surg Tele

Job Details:

• 12-hour shifts from 7:00 AM to 7:30 PM or 7:00 PM to 7:30 AM
• Every other weekend requirement (Nights: Friday and Saturday; Days: Saturday and Sunday)
• First to float; in-house floating to ER holds, between Med Surg and Def Obs units, and all other Sacramento facilities (mid-shift float to another facility is rare but possible)
• Self-scheduling used but finalized by manager
• Hospital may cancel up to 4 shifts per 13-week assignment or 3 shifts for assignments less than 13 weeks
• 27-bed Medical Acute unit with nurse-to-patient ratios of 1:4-5 (Tele 1:4, Med Surg 1:5); can take 8-12 Tele patients
• Care setting: Acute
• Patient population includes GI, GU, CHF, pneumonia, sepsis, chest tubes, myomectomy, bariatrics, abdominal plasty, mastectomy, orthopedic pre- and post-op, short stay elective post-ops, psych, ETOH withdrawal, prisoners, and county care patients; also OB overflow couplets
• Must be proficient in reading and interpreting telemetry strips
• Required to titrate drips including Heparin, Diltiazem, and Amiodarone per orders
• No monitor techs on unit; strips are printed every 4 hours and must be verified and charted by the RN using Phillips monitors
• Charge nurse on each shift; generally does not take patients but provides break relief
• RN aides available as census and staffing dictates (2 days, 2 swing, 1 night)
• No ventilators on unit; BiPAP, high flow, and home CPAP with MD order are utilized with respiratory support
• Charting system: Cerner
• Must be adaptable to a multicultural environment and comfortable working with translator services (Proprio, Language Line Solutions, tablets, Spectralink, and Zoom options)
• Comfortable working with homeless, substance abuse, inmate, and lower health literacy patient populations
• No perfumes or strong scents; no headphones or cell phones in patient care areas
• Scrub color: Navy; undershirts must be navy, white, or black; scrub jackets optional and must be navy
• Unit orientation: 1-2 days on the floor with a preceptor
• BSN not required
• Required certifications: ACLS (AHA), BLS (AHA), NIHSS