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 required (Nights: Friday and Saturday; Days: Saturday and Sunday)
• First to float policy in effect
• Self-scheduling used, 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 for a diverse patient population including GI, GU, CHF, pneumonia, sepsis, chest tubes, myomectomy, bariatrics, abdominal plasty, mastectomy, ortho pre- and post-op, short stay elective post-ops, psych, ETOH withdrawal, and county care patients
• OB overflow couplet care may be required; OB RNs float to cover these cases
• Must be proficient in reading and interpreting telemetry strips
• Telemetry strips printed every 4 hours and must be verified and charted by the RN; no monitor techs on unit
• Phillips monitors used; RN must be able to read strips independently
• Required to titrate drips including Heparin, Diltiazem, and Amiodarone per orders
• No ventilators on unit; BiPAP, high flow, and CPAP (with MD order) utilized with respiratory support
• Charge nurse on each shift; generally does not take a patient assignment but provides break relief
• RN aides available based on census and staffing: 2 on days, 2 on swing, 1 on nights
• In-house floating to ER holds and between Med Surg and Definitive Observation units; mid-shift float to another facility is rare but possible
• Must be comfortable in a multicultural environment and open to working with translator services (Proprio, Language Line Solutions, tablets, Spectralink, and Zoom options)
• Must be comfortable working with homeless, substance abuse, inmate, and lower health literacy patient populations
• 1-2 days of on-floor orientation with a preceptor
• Charting system: Cerner
• BSN not required
• Scrub color: Navy; undershirts must be navy, white, or black; scrub jackets optional but must be navy
• No headphones or cell phones in patient care areas; minimal to no perfumes or scents
• Required certifications: ACLS (AHA), BLS (AHA), NIHSS