Med-Surg Telemetry Registered Nurse

Shift Information: 1900-0730 Clinical Interviewing- yes On Call, Call Back Requirements: No On call requirement Weekend Rotation: every other weekend rotation

First-time traveler: NOPatient Types: Medical: COPD, chest pain, post cardiac cath (recovered in another unit first), COVID, DM, cellulitis, chronic trachs, wounds, ventilators, surgicals, heart failure Average LOS: 5-10 days Surgical: laps, no big surgeries Vented patients: travelers will care for vented patients- will receive a 2-3hr vent class. RNs only manage the patient, RT manages the vent. Patient Ratios: RN:Day/Eves: 1:4-5Night: 1:6-7Tech: Day: 1:6Nights: 1:8Required Certifications:

Wound care required, Surgical/post-op care, IV start skills, Wound vacs, PEG tubes, tube feedings, TPN required, trach care (trachs common on this unit) Vent experience required, however there is a class available (3hr class taught by RT, will receive an additional 12hrs of orientation with just vent patients; patients may include but not limited to pts with hypoxic brain injury on a chronic ventilator waiting for placement; max of 4 pts on vents out of 24 beds) – THIS MUST BE AN EXPECTATION OF TRAVELERS BEFORE THEY ARRIVE. – Please ensure that the traveler has experience with vents and is comfortable with them Must have charge experience and is willing and comfortable performing these duties Telemetry required Support on the Unit: Charge nurse: light patient assignment if staffing allows Unit secretary, 24/7Hospitalist, 24/7RT, 24/7Centralized telemetry monitoring Phlebotomy to assist with peripheral blood drawsIV/VAD team – central lines Techs are able to do glucose, vitals, remove IVsCharting System/Equipment: EPIC – required AlarisPyxisClient monitors Floating:all other MSUED holding – 1:4 ratio Travelers first to float OrientationNEO: Epic orientation, badge, log in access12 hr orientation with charge nurse Will assist CRN s patient assignment Scheduling: Schedule made 6 week at a time, receive 2 week prior Weekend rotation: every otherRTO: Email all RTO to NM Raquel Gonzalez

Holiday Expectations: One holiday per contractAAH adheres to a fatigue policy where all staff, including travelers, cannot work more than 60 hours in a week or 5 consecutive 12 hour shifts Other notes: Scrub Color: Any - no camo/denim Must document pain level, before and after (1 hour) giving pain medications - The pain score must also meet the pain score with nth medication order i.e. if a patient has a score of 8, the RN cannot give the Tylenol that is ordered for mild 1-3. The RN must call for an order if the patient wants Tylenol for the score of 8.Parking: Main Structure is free Culture: Fast paced, high acuity, amazing staff culture, highly interactive team members with great communication and team work['2 years experience as RN Telemetry', 'Able to read and interpret rhythm strips, manage central lines, start IVs and draw blood. Able to titrate the following drips: cardizem, heparin, and insulin.', 'a charge nurse', 'Chest tubes, drains, traches', 'Expert: Tracheostomy Management', 'high acuity experience', 'TPN', 'Ventilator']