RN – Step-Down

Specialty: Step-Down
Facility: Medical City Denton (DEN)
State License: TX
Certs/Licenses:
Years of Experience: 1
Shift: 19:00-07:00
Guaranteed Hours:
Description: Specialty: PCUFacility: Medical City Denton (DEN)State License: TXCerts/Licenses: Years of Experience: 1Shift: 19:00-07:00Guaranteed Hours: Description: Description:Position – TRAVEL – RN -Trauma Stepdown (636) MC Denton – 7P-7A (949139) Unit Information: Surgical Trauma-63610 Location: Medical City Denton Address: 3535 S. Interstate 35E Floor: 5th floor Building: Main General Information Tell us about the unit(s): Number of Beds – 25 Number of Staff 44 FTE s (57 headcount) Type of staff: Day Shift 1 charge/6 RN s/3 techs/1 secretary Night Shift 1 charge/6 RN s/3 techs Patient Ratios 1:4 (1:5 max for stepdown) Type of equipment – EMR Meditech On Call Requirement none Floating Requirement – to stepdown service lines (Progressive Care Unit/Heart and Vascular Unit) Typical hiring profile Skill Set Most recruited for: (Travel RNs, local CNAs and sitters) Must have: candidates without these skills will not be considered for the role. ACLS, BLS, NIH Great customer service skills Preferred or nice to have: candidates with these skills will be considered first. Trauma/Orthopedic experience Meditech experience List typical procedures performed on unit(s): Patients requiring acute surgical intervention/consultation or post op care including: Trauma Surgery Bariatric Surgery Vascular Surgery Traumatic Brain Injury General Surgery Urological Surgery Orthopedic Surgery Neuro / Spine Surgery GI Bleed / Endoscopy Pulmonary Embolus Patients with neurological diagnosis including but not limited to: CVA, TIA, TBI, S/P Neuro-Surgery, Altered Mental Status Meningitis New onset Seizures Hypertensive Crisis Chest Pain, CHF Sepsis Hemodynamically Stable Alcohol Withdrawal Pre and Post Cardiac Cath Lab procedural patients (***HVU***) Post op CV surgery patients when hemodynamically stable (***HVU***) Unstable angina, suspected MI (NSTEMI & STEMI). (***HVU***) Chest pain rule out patients (***HVU***) Chest pain with acute EKG changes and or elevated troponin. (***HVU***) Patients with acute cardiac dysrhythmias requiring IV/PO medication management Hypertensive Urgency Mild-Moderate congestive heart failure; with elevated BNP, and/or pulmonary edema on chest x-ray without shock Respiratory distress patients with documented Sp02 88% or below on room air requiring Venti mask, BiPAP or CPAP Post-op Femoropopliteal bypass, peripheral stents, post aortograms Post-op CEA Pulmonary Embolus requiring Heparin Drip Patients meeting PACU discharge criteria Vital Signs: HR 50-150 o BP 90 mmHg and 180 mmHg Systolic Dyspnea with respiratory rate 30 breaths/min or 10 breaths/min. Oxygen Saturation greater than 90 Patients receiving the following Intravenous drips: Agatroban o Agrastat/Integrelin/ReoPro o Amiodarone o Cardene o Cardizem o Dobutamine (Renal/Heart failure dose) o Dopamine (Renal/Heart failure dose) o Heparin o Lasix o Morphine or Ativan for palliative care o Nitroglycerin o Primacor o Sodium Bicarbonate Best personality Fit: Team player Adaptable to changing environment Good communication skills Unit Guidelines/Policies: Please feel free to attach unit policies and guidelines. Vitals q 4 Telemetry monitoring Q4 patient assessment Any additional information that would entice a worker to select your unit for their assignment: Consider items such as new equipment or technology, tenure and experience of staff, schedule options, etc. *Remember it is a very competitive market any information you can provide will help attract talent. Level 2 trauma center with 90% of inpatients coming from ED. General Comments No. of Positions: 1/2.; TRAVEL – RN -Trauma Stepdown (636) MC Denton – 7P-7A