RN Hospital Inpatient

Additional Information(internal)Years of Experience3UnitERUnit TypeER (Emergency RoomRequired CertificationsACLS BLS NIHSS PALS TNCCShiftdefault-logoNightsShift Length12Shift Notes12hr nights EOW First to Float to College Station (if necessary)Unit NotesMed Sol prescreens manager conducts a 2nd interview****RN must pass the Advanced Dysrhythmia exam (83%) before signing the contract. They will be given three attempts to pass.****Unit ER/ED**Position will float between Bryan and College Station campus (16 minutes apart)**Trauma Level STEMI Receiving Stroke Center Level III Trauma Primary Stroke center with comprehensive capabilities# Beds/Trauma Bays 30 beds with 2 trauma bays 24 acuteDo you have a Fast Track yes- called vertical care hereDo you have a separate Triage area If so do you allow/require travelers to do Triage yes- This is a separate area that funnels in to the vertical care and acute care beds. They have a first eyes nurse that registers and triages all patients and gets them to the appropriate may be placed in triage after they have been on assignment for a while their skills will be assessed before placing here. Do you have a separate holding area in the ER or are ER holds intermixed w/in the ER Holds are intermixed ED RNs will care for themDo you have separate Psych/seclusion rooms No- they are intermixed within the ERIs Security in-house 24/7 Housed in the ER Security is in house 24/7. The ER has an off duty officer 24/7On average how many patients do you treat in the ER/day 135 patients daily on averageNurse: Patient Ratios Ratios vary depending on acuityGeneral acute care beds 1:3-4 Level I traumas 1:1 or 2:1 depending on acuity TNK 1:1 for first hour vertical care 1:6-8 Required Certifications (i.e. BLS ACLS PALS TNCC ENPC NRP NIHSS) BLS ACLS PALS TNCC NIHSSCommon diagnoses/Types of patients Typical ER patients N&V chest pain fever Peds-URI sx no pediatric hospital in community 10-15% of patients are Peds; Geriatric-altered mental status; trauma-highest trauma area in the region service 9 counties own EMS agency that runs 7 of the 9 counties have their own helicopter as well trauma types: ground level falls MVAs all terrain vehicles assaults-GSW stabbingsChest tubes rapid transfusions intubated patientsExperience or Must have skills Must have 2 or more years of experience. Need to have worked in a facility with similar patient volume trauma level and drips Diltiazem Cardene Nitro Sedation-propofol fentanyl levophedEMR PulseCheck or PicisED Physician/Mid-Levels 1 MD 24/7 and a 2nd MD between 9AM-2AMMidlevel- NP or PA staffed 24/7 with a 2nd midlevel staffed 10A-10PCharge Nurse/House Supervisor Does the charge nurse take an assignment Free floating charge- will take an assignment if needed. Charge will respond to codes and rapid responses on floorsNurse aids/EMT/Paramedics/Patient Sitters Ratios Duties Patient Care Techs- hold 4 different positions: secretary true tech help first eyes location sitter/mental health patient care advocateTechs can do EKGs wound care help transport patients ADLs help set up all trauma cases- get chest tubes ready get a-lines and central lines readyIs RT in the ER 24/7 Do they do ABGs breathing Tx & EKGs Yes assigned to ER. Do ABGs split breathing tx between RNs and RTRT Equipment (Vents Cpap BiPap High Flow etc.) Are RNs required to do anything with these besides trouble shoot nasal cannula to ventsDo you have Monitor Techs in the ER Are RNs required to read their own strips What brand are the Tele monitors RNs monitor their own teleX-Ray or CT in the ER Transport Both in ER and have their own transporterDoes Phlebotomy draw labs or RNs draw in ER 24/7Shifts & Scheduling (Do you allow self-scheduling Block scheduling) Hybrid schedule- some self-scheduling and block scheduling ensuring needs are met. Scheduler will work with traveler to get schedule ironed outWeekend Requirements every otherHoliday Requirements rotate in with core staff- 1 majorIs there call or a standby requirement noFloating Requirements may float to be helping hands- will not have an assignmentScrub Color/Dress Code: Navy - undershirts must be navy. Scrub jackets are optional must be specific orientation 3 shifts in the ERAdditional Notes They have a good culture and team environment have a Shared Governance structure UBC is very active in speaking for the staff