RN - MedSurg/Tele

RN - MedSurg/Tele

● About Facility:

· Charlotte, NC

·207 licensed beds

· No Trauma Designation

· Not a Teaching Hospital

· Chest Pain Center

· Stroke Center

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

● Unit Information:

· Beds: Will vary based on unit

· Minimum Years of Experience required: 18 months Med/Tele RN (Resource Team requirement)

· Will you accept a first-time traveler: Not preferred but will consider

● Patient Types/Common Diagnoses:

o Will be assigned a home unit on the first day of orientation

ADTU

·12 Beds

· Patient Types : Med/Tele Overflow area to support all inpatient units/ED holding; Diagnoses include but are not limited to: CHF, COPD, Chest Pain workup, Stroke s/s, Respiratory issues, etc.; Testing is prioritized

7North/South Ortho Surgical

·48 Beds

· Patient Types : General Medical Overflow; Surgical Patients - Include, but are not limited to: total joint replacements (knees, hips, shoulders), spinal surgery (laminectomies, discectomies, fusions), shoulder procedures, etc.

· Additional Skills Required: Ortho Experience; Spinal precautions

6S Medical Telemetry

·34 Beds

· Patient Types : COPD, Respiratory illnesses, Diabetic Ulcer, Abdominal pain, Pancreatitis, Altered Mental Status, ESRD, etc.

5N Surgical Telemetry

·26 Beds

· Patient Types : General Medical Telemetry Overflow; Surgical Patients - Bariatric weight loss surgery, Urology procedures, General post op, Abdominal surgeries – GI bleed, small bowel obstruction, foot and ankle surgery

4N Cardiac Medical Telemetry

·29 Beds

· Patient Types : Include, but are not limited to: congestive heart failure, pulmonary edema, hypertension, stroke, cardiac arrhythmias, endocarditis, and initial cardiac work up for chest pain and/or shortness of breath. Initial cardiac work up typically includes prepping patients for cardiac stress test

· Medical Telemetry

3N Medical Telemetry

·31 Beds

· Patient Types: End Stage Renal; PD; Fluid overload; Sickle cell; DM; Altered mental status; Cellulitis; Diabetic ulcers; Pancreatitis; Behavioral health

2N Medical

· Beds: 16 beds are Med/Tele Obs; 11 beds are Horizons Detox unit

· Patient Types: New diagnosis DM, Chest Pain, R/O stroke, Abdominal pain, GI bleed, Detox, Suicidal Ideation, Altered Mental Status

● Patient Ratios:

· RN: 1:5-6 (critical surge 1:7-8)

· CNA: 1:6-12

● Required Licensure & Certifications:

· BLS, ACLS, NIHSS (Resource Team requirement)

● Skills required:

· The only unit with additional skills needed is 7N/S Ortho – see above

· General Med/Tele skillset: Stroke experience, cardiac rhythm interpretation, trach care, PIV starts, chest tube management, NGT placement, drain/tube management (Dobhoff, PEG tubes, Hemovac, JP drains, flexiseals, foley insertion/management, etc), PCA pumps

· Medication gtt management to include : Cardiac drips, Heparin, blood products, IVF

● Support within the Department:

· CNA

· Receptionist/HUC

· Charge nurse – may or may not have patients

· Phlebotomy – peripheral blood draws

· IV/VAT Team: 11a-7p, 11p-7a

· Resource Nurse – as staffing allows

· RT, 24/7

· Hospitalist, 24/7

· Intensivist - ICU provider in house until 11p M-F, till 7p Sat/Sun, VCC coverage and on call Intensivist

· Telemetry monitoring/tech? no

● Technology/Equipment:

· EMR: Epic

· IV Pump: Alaris

· Med dispensing: Omnicell

· Monitors: Phillips

● Floating: If yes, where?

· All units within scope at Mercy

· Within region and scope of practice

· 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

· Please see job posting for dedicated region and discuss the region that applies (will change per requisition)

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

▪ Region 2 - Pineville, Anson, Union, Union West, Central Division (CMC Main + CMC Mercy + Levine Children’s Hospital)

▪ Region 3 - Cleveland, Kings Mtn, Lincoln, Central Division (CMC Main + Mercy + LCH)

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

● Orientation (facility and unit) :

· NEO

·2 days departmental

● Scheduling:

· Weekend rotation: every other

· No call

· Holiday Expectations: Travelers will work 75% of holidays

· RTO: Can approve up to 6 days off, excluding holidays – must add time to the end of the contract if unable to meet contracted hours

· Schedule cycle: every 6 weeks

● Other notes:

· Scrub Color: Navy

· Parking: Free