SLSS - Med Surg: IU 2nd Floor
This position will be for 2 MESG & 3 MESG
• About Facility:
o Cudahy, WI
o Level IV Trauma Center
o 20 minutes from Milwaukee, WI
o Beds: 100
• Unit Information:
o Beds: 28
• Census? Average patients/day? 20-22
o Minimum Years of Experience required? 1 year MedSurg/Tele experience
o Will you accept a first-time traveler? Yes
• Patient Types/Common Diagnoses:
o Mostly geriatric patients
o Cardiac: CHF, chest pain obs. No Cath Lab on site. If patient needs cath, will be transferred to St. Luke's MC.
o Neuro: seizure obs, stroke obs, TIA vs. stroke rule out, altered mental status
o General Medical: COPD, respiratory/kidney/liver/GI issues
• Patient Ratios:
o RN:
• Days: 1:4-5
• Nights: 1:6-7, can go up to 1:8, but not common
o CNA:
• Days: 1:5-6
• Nights: 1:7-8
• Required License, National Certification, Certs:
o RN: BLS, NIHSS; ACLS preferred
o CNA: BLS
• Skills required:
o RN: Experience with above patient types, NG tube placement/management, foley placement/management, chest tube management, Pleurex and other drains, wound care, central line/ports/midline blood draws, cardiac rhythm interpretation
• Drips (possible to titrate within set parameters): Cardizem, amiodarone, heparin, Lasix, insulin
o CNA: assist with ambulation, patient ADLs, vitals, I/O, blood sugar checks. Can remove peripheral IVs
• Support within the Department:
o Charge RN will take reduced patient assignment
o HUC until 2300
o Phlebotomy for peripheral lab draws
o RT 24/7
o Hospitalist 24/7
o OT/PT/ST during the day
o Centralized tele monitoring with tele techs, central monitor also at the nurse's station
• Technology/Equipment:
o EMR: EPIC
o IV Pump: Alaris
o Med dispensing: Pyxis
o Monitors:
o Unit specific equipment: different lifts for patients, including ceiling lift
• Floating: If yes, where?
o Could float and take patient assignment on other MedSurg units or anywhere in the hospital MedSurg patients are located, including ER hold, ICU, etc. Will only take a MedSurg patient assignment
• Orientation (facility and unit):
o NEO
o One 12h shift on the unit to learn the flow
• Scheduling:
o Weekend rotation: Every other
o On call? Only low census. Could be placed on low census call for up to 36h per contract
o Holiday Expectations: 50% of holidays per contract
o Approval of RTO: to go through manager
o Shift times: 0700-1930, 1900-0730
o Schedule cycle: Manager makes schedule in 6-week increments and released around 3-weeks prior to schedule beginning
• Other notes:
o Scrub Color: Any solid color, professional. No graphics, logos, denim, or designs.
o Parking: Free employee parking lot
o Unit Culture: currently working on culture and engagement. There is a lot of work being done on the unit. The teams work well together and are supportive of one another