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Unit Overview 35-bed Med/Surg Ortho-Neuro unit Average daily census: 32-35 patients Minimum 2 years of acute care experience required First-time travelers accepted Manager interview required Required Certifications BLS NIH Stroke Scale (NIHSS) AHA NIHSS certification is not accepted Technology & Equipment EMR: Cerner IV Pumps: Alaris Medication Dispensing: Omnicell Patient Population Orthopedic Patients Total joint replacements (hip, knee, shoulder) Fractures Ankle repairs Spinal surgeries Laminectomies Discectomies Spinal fusions (including multi-level fusions) Trauma patients External fixation devices Neurological Patients Stroke TIA (Transient Ischemic Attack) Stroke rule-outs Seizure monitoring Head injuries Altered mental status ALS Multiple Sclerosis (MS) Post-operative craniotomies (not fresh post-op) Encephalitis Medical Overflow CHF COPD CIWA patients Respiratory disorders GI disorders Renal conditions Liver disease Patient Ratios Days 1:4-5 Nights 1:5-6
Candidates must be proficient in: NIHSS assessments Neuro assessments and stroke monitoring Orthopedic patient mobilization with precautions NG tube insertion and maintenance PEG tube feeding and management Dysphagia screening Peripheral IV insertion and maintenance Foley catheter insertion and care Dressing changes and wound care Wound VAC management Drain management PCA pump management Cardiac rhythm interpretation Blood product administration IVIG administration External fixation care and pin-site management Unit Support The unit is supported by: CNAs (ratios approximately 1:6-12, depending on shift) Health Unit Coordinator (0630-1900) Charge Nurse (typically without patient assignments) Admit/Discharge RN (weekdays) Phlebotomy Team PICC Team Respiratory Therapy (24/7) Hospitalists (24/7) Intensivists (24/7) Floating Travelers may float to any inpatient unit caring for Med/Surg patients.
Travelers are the first staff members floated when needed.