Registered Nurse - PCU

• CLINICAL INTERVIEW UNIT-MANAGER APPROVAL General Information:
• Beds: 64 - spread across 2 floors
• Required experience?
• Intermediate/Stepdown Level RN: 1 year of nursing experience required
• Will you accept a first-time traveler? Yes, if greater than 1 year of experience
• 1st time traveler MUST have EPIC experience
• Travelers must live 100 miles away from any Monument Health facility
• Permanent staff must wait 1 full year before returning as a traveler
• Patient Types:
• This is a mixed acuity unit meaning there will be Intermediate Care acuity as well as Tele and MedSurg - please ensure traveler understands
• Surgical: Urology, prostatectomy, bowel obstruction, mass removal, cholecystectomy, appendectomy, general abdominal surgeries
• Ortho: Total joints (knees/hips/shoulders), Ortho Trauma - External fixation, soft tissue injury and minor fractures
• Neuro/Spine:
• CVA/TIA with Neuro Vascular Intervention - coiling, clipping, potentially thrombectomy (may go to ICU but if they are stable could come back to ONS) - modified ratios with this patient (CRN/flex RN will help to manage in immediate post-op time frame)
• Seizures/Epilepsy, brain tumor, hematoma, brain aneurysm, arteriovenous malformation, AV Fistula, craniotomies with burr holes and/or shunts, Halos, Flaps
• Please note: post neuro-intervention is a preferred experience - education and resources are provided by the unit if they have not had this patient type
• Spinal Surgical - Laminectomies, Fusions, Discectomies
• Please note: post neuro-intervention is a preferred experience - education and resources are provided by the unit if they have not had this patient type
• General Medical: cellulitis, influenza, COVID, pneumonia, COPD, CHF, renal failure with or without the need for hemodialysis, hepatic failure, rib fracture, gastrointestinal disorders and infections, DVTs, UTIs
• Wound care/Wound debridement, telemetry monitored patients
• Patient Ratios:
• RN:
• PCU: 1:4 (even for MedSurg assignments) can be 3:1 depending on gtts and acuity.
• CNA: 1:8
• Required

• RN: BLS, ACLS, NIHSS • Required

• RN: Completion of a nursing education program that is approved by a board of nursing; Registered Nurse (RN) - South Dakota Board of Nursing
• Skills required:
• Intermediate/Stepdown RN:
• Comfortability to take MedSurg assignments - please decline if not
• EPIC Experience
• Previous experience with our types of patients above, including IMC/stepdown acuity and Neuro
• Ability to read/interpret cardiac strips, chest tubes, trach care (no fresh traches), NGT tube placement and management, JP drains, line management - PICC/Midline/CVL/PIV placement, wound vacs (Wound Care RN will change out the vac but RN must know how to assess and will need to change to wet/dry dressing in case of malfunction), wound care/dressing changes, medication administration, TPN/tube feeding, blood product transfusions, urinary and fecal collection devices
• Drip titration of below medications:
• most commonly - Heparin, Insulin, Cardizem, Amiodarone, occasionally esmolol drips (will train if traveler has not done these) or other Betablockers or other antihypertensives
• Support on the Unit:
• Pod structure for the unit - 8 patients per pod; staffed with 2 RNs and 1 Nurse Aide
• CNA: 1:8
• Charge nurse: Two charge nurses for ONS that do not take a patient load (1 dedicated to each floor)
• Flex Nurse - staffed daily 10a-10p
• Phlebotomy
• IV/VAT Team
• Resource Nurse during Dayshift/varied hours - Nurse Clinician support available
• RT 24/7
• Hospitalist 24/7
• Charting System:
• EMR: Epic - required
• IV Pumps: Baxter
• Med Dispensing: Omnicell
• Floating:
• Any Adult Inpatient Unit - Med Surg, Ortho/Neuro/Surgical, Heart and Vascular Unit, Oncology, Observation
• Could be floated within scope of practice and below
• Will float in rotation with other travelers
• Orientation: (facility and unit)
• 2 days of unit/department orientation including policies, protocols, department information, online learnings. Also, classroom time with our Nursing Professional Development Team.
• 2 orientation shifts on the unit working with a preceptor
• Scheduling:
• 6-week schedules
• Weekend rotation: Travelers could be scheduled for up to 4 out of the 6 weekends, which include Friday, Saturday and Sunday
• Please include in offer if traveler is open to working every weekend (WOW) as this may be a possibility
• Will they be on call? No mandatory call time. If it is an extra shift on top of their already guaranteed hours, and we have enough staff then they could be placed on call for that shift
• Holiday Expectations: must be RTO request prior to offer - at this time Holiday RTO is not being accepted
• Approval of time off? Able to approve 1.5 weeks off - must extend contract to accommodate a full 13-week contract
• Blackout dates from August 1-18th (exact dates change each year) due to our Sturgis Motorcycle Rally. No time off is approved during this time.
• Other notes:
• Could be expected to precept students
• Scrub Color: Navy Blue
• Free Parking
• Audits are done monthly for Pre/Post pain scoring-Must meet 90% compliance with audits.
• Please include in offer:
• If they have a traveler partner that is on the same unit or one of our units.
• If they prefer block scheduling or weekends. Even if we don't approve this, it is nice to know their preference in the comments.