RN – Step-Down

Specialty: Step-Down
Facility: Methodist Jennie Edmundson Hospital
State License: IA
Certs/Licenses:
Years of Experience: 2 year(s)
Shift: 12H Nights
Guaranteed Hours: 36 hours per week
Description: Specialty: Med Surg PCU TeleFacility: Methodist Jennie Edmundson HospitalState License: IACerts/Licenses: Years of Experience: 2 year(s)Shift: 12H NightsGuaranteed Hours: 36 hours per weekDescription: Unit Notes:*Must have Cerner experience* Med/Tele/PCU floatUnit/Department Methodist Jennie Edmundson RN Float PoolWhat units are included in the float poolMed Surg, Tele, PCU, ICU, potential ED if ED exp.No floating to L&D for the float pool travelers. No Peds experience required but is helpful.Nurse:Patient RatiosMS/Tele: 1:6-7PCU: Days 1:4, Nights 1:4-5ICU: 1:1 1:2 3 if they have overflowRequired Certifications (i.e., BLS, ACLS?)BLS, ACLS, PALS, NIHSS Common diagnoses/Types of patientsICU: STEMI, CVA- TPA, Sepsis, Multiorgan failure, Covid, EKOS, arrest, overdose, COPD, CHF, Pneumonia, DKA, post vascular, Swanz, code freeze, -travelers won’t take IABP or Impella unless proficient PCU: COPD, CHF, Post cath, pacer, ablation, A-Fib RVR, TEE- Cardioversions bedside, PE, Covid, Sepsis, CVA, TIA, STEMI, nonstemi, Hypertensive urgency, head injury, dedicated Chest Pain Center – CP R/O – Stress testMed Surg: General medsurg, Ortho – total joints, hips, knees, shoulders, spines. Oncology related admissions and chemo administration, Medsurg overflow.Experience or ‘Must have’ skills*Ability to read cardiac telemetry.*Must be proficient with ortho; they have a lot here. *Experience with chest pain and post heart caths if working in acuity higher than Med Surg Are RNs required to titrate drips?YesCommon titratable &/or set rate dripsAll critical care drips including pressors, paralytics, sedation, heparin, insulin, lasix, Nitro, Cardizem, Amiodarone, precedex, Dopamine, Dobutamine.Charge Nurse/House Supervisor? Does the charge nurse take an assignment?Charge nurse on days and nights, charge may take patient assignment. House Supervisor available 24/7.Are there nurse aids on this unit/RatiosCNAs and LPNs depending on the unit.RT Equipment (vents, Cpap, BiPap, etc)MS/TELE/PCU: Cpap, Bipap for OSA only. Rt to manage.ICU: Drager, A40, LTV and Avea in nurseryIs there tele on this unit? Monitor Techs? RNs read strips?Monitor techs assisting, however nurses will also assist and must be competent in strip interpretation.Shifts & Scheduling (Do you allow self-scheduling? Block scheduling?)3 12’s: 7a – 7:30 pm / 7 pm – 7:30 amWill consider block schedules, including every weekend, as long as the needs of the unit are met but not a guaranteeWeekend RequirementsEvery 3rd weekend, can be considered for more if requestedHoliday RequirementsRotated with the perm staffIs there a call or standby requirement?Typically no, may volunteer if low census How are units assigned? i.e. via text message, daily sheet assignments, set schedule?Daily assignment sheet is located near float pool breakroom. Can see assigned unit and then clock in. Schedule is set 6 weeks in advance, but might not know what unit you are assigned to until you report for shift. We mostly have been preassigning travelers to specific units based on the unit staffing needs and skill set however, there are times when the traveler will float to a different department due to census. Scrub Color/Dress CodePewter Gray Scrubs (Reference Cherokee Brand Pewter Gray)Unit/Department specific orientation2 shifts with a preceptorAdditional NotesPlease inform traveler it is important to remember to return the Vocera, locator badge, & other unit equipment at the end of each shift. Can be charged for lost equipment. Additional Questions Notes obtained: Phone Implementation, Email, or On-Site?One site with Tracie Kerns 11.21.23 Cancellation Policy:CLIENT may call off up to 2 shifts per 13 week assignment with no penalty. Charting System:Cerner BSN Required:False License to Submit:Yes Trauma Level: Care Setting:Acute Division:Nursing Shift Notes: Required Certifications:ACLS, BLS Certification, NIHSS