About Facility:
- 361 licensed beds
- Level 2 Trauma Designation
- Teaching Hospital: Yes, Residency Program
- Chest Pain Center
- Stroke Center
Department Information:
Minimum Years of Experience required: 2 years in requested specialty
- Will you accept a first-time traveler: Will consider, not preferred
Patient Types/Common Diagnoses:
- ED:
- General ED population for Level 2 Trauma Chest Pain/Cardiac events, Stroke, Trauma GSW, Stabbings, MVC, Falls, etc.; Respiratory illnesses, Seizures, Abdominal illnesses and infections, ETOH/CIWA, IVDA, Mental Health
- Medical-Surgical Floors:
- 3 MedSurg (Overflow & Difficult to place patients 27 beds): Syncope, Fever and Chills, Intractable N/V, Failure to thrive, Cellulitis, Vascular dementia, Cerebrovascular disease, History of CVA.
- 3 North (Oncology 20 beds): Immunocompromise patients, Cancer pts', end of life care, respite, palliative care patients, do chemo infusions (This floor will be moving to 2 MedSurg on Northeast building soon).
- 4 East (Ortho 16 beds): Medical and surgical ortho patients including fractures of different bones and joints (open & closed), MVC, trauma, Buck's traction.
- 4 South (General Surgery & Trauma 36 beds): Ureteral stone, Goiter, Hernia, Uterine Fibroids, Renal Mass, Diverticulitis with perforation, MVC, trauma, Bowel Obstruction, Breast Cancer for Mastectomy, Hematuria (irrigation), Fetal demise, DNC.
- 4 Central (Pulmonology 22 beds): Acute respiratory failure, Hyperglycemia, Sepsis, Metabolic Encephalopathy, Dementia, COPD, Acute Kidney Injury, Failure to thrive, Pneumonia (This floor takes glucommander).
- 6 Central (Vascular & Bariatric Surgery 19 beds): End stage renal disease, Foot ulcer, Peripheral Vascular Disease, Morbid Obesity (take vascular and gastric bypass surgeries, also take glucommander).
- Critical Care Areas:
- 4 West (Neurology Stepdown 23 beds): Stroke, Seizures, Back pain, Lumbar surgery, s/p craniotomy, lumbar drains, AMS, Aphasia (This floor takes glucommander, Cardiac titratable drips).
- 5 West (Cardiac Stepdown 34 beds): Chest pain, S/p Cardiac angiography with or without PTCA, CHF, Cardiomyopathy, Pneumonia, Palpitations, Syncope, Arrythmias, Angioedema, Hyponatremia, AMS, Sepsis, Acute Coronary Syndrome, A-Fib, Heart Block (takes glucommander, cardiac titratable drips, also do aqua pheresis).
- Observation unit (Decision Unit & Overflow for 5 West 11 beds): Facial numbness, CAD, A-Fib with RVR, Stroke-like symptoms, Chest pain, right or left sided weakness, Acute respiratory failure (takes cardiac titratable drips, bedside cardiac monitors in all rooms).
- ICU (Medical, Surgical, Neuro, Cardiac all combined 26 beds): Drug overdose, Psychosis, MI, Subarachnoid hemorrhage, MVC, Sepsis, ARF, AAA, Acute hypoxic respiratory failure, Hypoglycemia, Pneumonia, Suicide attempt (has pts' on Life link, CRRT, Intra-aortic balloon pump). Travelers not assigned CRRT and IABPs.
Required License, National Certification, Certifications (BLS, ACLS, NIHSS, etc.), or other position specific requirements such as Driver's License and/or Insurance:
- ED RN: ACLS, BLS, NIHSS, TNCC and CPI (we will offer this if they do not have CPI) for all nurses
- ICU RN: ACLS, BLS, NIHSS, and CPI (we will offer this if they do not have CPI) for all nurses; TNCC (preferred)
- PCU and Med/Tele RN: ACLS, BLS, NIHSS, and CPI (we will offer this if they do not have CPI) for all nurses
Skills required:
- ED RN: ER skills - arrhythmia monitory, sedation, paralytics, titratable drips knowledge, CVP monitoring, caring for s/p craniotomy pt, TPA administration, TNCC is a must, CEN preferred
- ICU RN: ICU skills arrhythmia monitory, sedation, paralytics, titratable drips knowledge, CVP monitoring, caring for s/p craniotomy pt, TPA administration, CCRN & TNCC preferred
- PCU RN: PCU skills arrhythmia monitoring, knowledge of cardiac titratable drips
- Med/Tele RN: Basic arrythmia interpretation, Foley catheter irrigation, PCA, Epidural, CPM, Buck's traction, Drains & chest tube management
- Nursing skills, with knowledge of cardiac drips, neuro, cardiac, pulmonary, ortho, trauma, and surgical patients.
- At our facility, we require 2 nurses to place foley catheter
Ratios:
- MedSurg: Days 1:5 but can increase to 1:6 in staffing crisis. Nights 1:6.
- ICU: Days and Nights 1:2. Can go up to 1:3 depending on acuity
- HAU (High Acuity Unit, PCU level): 1:3
Support within the Department:
- CNA/ Nurse techs
- Respiratory Therapists
- Phlebotomists
- Educator
- Staffing specialist
- Timekeeper/ Payroll specialist
- Safety sitters
- Virtual Patient Observers (VPO)
- Virtual RN (currently on 4 West)
- Security
Technology/Equipment: EMR: EPIC
Department specific Equipment- depends on the units, Glucommander, cardiac monitors, Precision BBG monitor, specialty beds, alarms, bed and chair alarms, BiPap, ventilators, Alaris pumps, Virtual RN, Virtual Patient Observer.
Floating: If yes, where: All med surg and Critical Care Areas (including ED boarders). If ICU or ER, we do use those as well.
Orientation (facility and unit):
- 1st week: NEO (Monday Friday 8:00am-4:30 pm)
- 2nd week: 2-3 days departmental (on the floor)
Scheduling:
- Weekend rotation: Every other
- On call: If so, what is that schedule: If census is low, you may be asked to be on call, but this is rare.
- Holiday Expectations: 70% of holidays
- RTO Requests: If participating in SimpliFi Clinical Interviewing can we approve up to 7 days of RTO on your behalf, if traveler extends contract to accommodate: Yes
- Shift times: 7a-7p and 7p-7a for med surg and critical care, ER may vary
- Schedule cycle (how many weeks): 13
Other notes:
- Scrub Color: Navy
- Parking: Free: Yes
- Department Culture: Teamwork, work as 1 group, speak up if you need help, assist when you see someone that needs help, answer call lights and rover phones timely. Telemetry is a priority and should be answered quickly and respond to the patient quickly.
#TB_HC and #ZRHC
#ICURN1
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