Med Surg Telemetry RN

Facility: o Charlotte, NC o 207 licensed beds o No Trauma Designation o Not a Teaching Hospital o Chest Pain Center o Stroke Center o Radius rule: Traveler s permanent address must be 50 miles outside of home unit ● Unit Information: o Beds: Will vary based on unit o

• 18+ months Med/Tele RN (Resource Team requirement) o First-time travelers: Not preferred but will consider
• Patient Types/Common Diagnoses: o Will be assigned a home unit on the first day of orientation ADTU o 12 Beds o Patient Types: Med/Tele Overflow area to support all inpatient units/ED holding; Diagnoses include but are not limited to: CHF, COPD, Chest Pain workup, Stroke s/s, Respiratory issues, etc.; Testing is prioritized 7North/South Ortho Surgical o 48 Beds o Patient Types: General Medical Overflow; Surgical Patients - Include, but are not limited to: total joint replacements (knees, hips, shoulders), spinal surgery (laminectomies, discectomies, fusions), shoulder procedures, etc. o Additional Skills Required: Ortho Experience; Spinal precautions 6S Medical Telemetry o 34 Beds o Patient Types: COPD, Respiratory illnesses, Diabetic Ulcer, Abdominal pain, Pancreatitis, Altered Mental Status, ESRD, etc. 5N Surgical Telemetry o 26 Beds o Patient Types: General Medical Telemetry Overflow; Surgical Patients - Bariatric weight loss surgery, Urology procedures, General post op, Abdominal surgeries GI bleed, small bowel obstruction, foot and ankle surgery 4N Cardiac Medical Telemetry o 29 Beds o Patient Types: Include, but are not limited to: congestive heart failure, pulmonary edema, hypertension, stroke, cardiac arrhythmias, endocarditis, and initial cardiac work up for chest pain and/or shortness of breath. Initial cardiac work up typically includes prepping patients for cardiac stress test o Medical Telemetry 3N Medical Telemetry o 31 Beds o Patient Types: End Stage Renal; PD; Fluid overload; Sickle cell; DM; Altered mental status; Cellulitis; Diabetic ulcers; Pancreatitis; Behavioral health 2N Medical o Beds: 16 beds are Med/Tele Obs; 11 beds are Horizons Detox unit o Patient Types: New diagnosis DM, Chest Pain, R/O stroke, Abdominal pain, GI bleed, Detox, Suicidal Ideation, Altered Mental Status
• Patient Ratios: o RN: 1:5-6 (critical surge 1:7-8) o CNA: 1:6-12
• Required Licensure

• o BLS, ACLS, NIHSS (Resource Team requirement)
• Skills required: o The only unit with additional skills needed is 7N/S Ortho see above o General Med/Tele skillset: Stroke experience, cardiac rhythm interpretation, trach care, PIV starts, chest tube management, NGT placement, drain/tube management (Dobhoff, PEG tubes, Hemovac, JP drains, flexiseals, foley insertion/management, etc), PCA pumps o Medication gtt management to include: Cardiac drips, Heparin, blood products, IVF
• Support within the Department: o CNA o Receptionist/HUC o Charge nurse may or may not have patients o Phlebotomy peripheral blood draws o IV/VAT Team: 11a-7p, 11p-7a o Resource Nurse as staffing allows o RT, 24/7 o Hospitalist, 24/7 o Intensivist - ICU provider in house until 11p M-F, till 7p Sat/Sun, VCC coverage and on call Intensivist o Telemetry monitor tech: no
• Technology/Equipment: o EMR: Epic o IV Pump: Alaris o Med dispensing: Omnicell o Monitors: Phillips
• Floating: o All units within scope at Mercy o Within region and scope of practice o Will be required to float per region needs will require floating to all facilities listed below, as needed, within scope of practice DECLINE if not agreeable o Please see job posting for dedicated region and discuss the region that applies (will change per requisition)
• Region 1 - Cabarrus, University City, Stanly, Lake Norman, Central Division (CMC Main + Mercy + LCH (peds only) -- could float to any of the facilities within region if the need arises
• Region 2 - Pineville, Anson, Union, Union West, Central Division (CMC Main + CMC Mercy + Levine Children s Hospital)
• Region 3 - Cleveland, Kings Mtn, Lincoln, Central Division (CMC Main + Mercy + LCH)
• If floating mid-shift, Traveler will be paid for the time traveling between facilities (will remain on the clock)
• Orientation (facility and unit): o NEO o 2 days departmental
• Scheduling: o Weekend rotation: every other o No call o Holiday Expectations: Travelers will work 75% of holidays o RTO: Can approve up to 6 days off, excluding holidays must add time to the end of the contract if unable to meet contracted hours o Schedule cycle: every 6 weeks
• Other notes: o Scrub Color: Navy o Parking: Free