Telemetry

Cardiac Monitoring: We have 10 rooms with hardwired monitors, the rest of the rooms are portable tele monitor capable. Monitor techs are located on the 6th floor and monitor throughout the hospital. They call the assigned nurse for any issues they notice on the monitor. Nurses are expected to have understanding and comfort with basic dysrhythmia and verify the tele strip interpretation. Pharmacy: There is a unit based pharmacist 7a-3p 5 days a week. There is coverage in the main pharmacy 24/7. Nurses do reconstitute antibiotics. Telemetry patients may have titrating heparin. Stepdown patients may have titrating diltiazem, Pharmacy initiates Omnicell access for medications, and Michelle or Rebecca will give each employee fingerprint access to the Omnicell. Respiratory: RT is present in the building 24/7. It is not outside of the scope of practice to give nebulizers/breathing treatments, but RT is nearly always available. No ventilators are on the unit. We use nearly all other O2 delivery methods.

Physician/Provider Coverage: There is at least one covering hospitalist 24/7.Venous Access: Nurses do place IVs. Nurses draw labs only from central lines if there is an order to do so. There are no other IV requirements. Orientation: The first day is a blend of required education modules and shadowing/orienting. The second shift is orientation. The third shift is independent.- The first day the RN should go to the corporate center for a badge and parking pass, then come to the main campus to the 2nd floor to start orientation. Shifts: RNs work 12 hour shifts from 7a - 7:30p or 7p - 7:30a; RNs are hired for day or night shift. They may pick up additional on a shift they do not normally work, but will not be made to work a different shift. We do allow block scheduling depending on the unit needs. We do allow self scheduling for travelers. Oncall: No oncall on this unitFloating: Floating may occur to a comparable unit or lower level unit (telemetry or med/surg). Occasionally staff are pulled to help with ADMITTED boarded patients in the emergency department or floor/tele patients housed in the ICU.

New YearsDress Code: Nurses provide their own Navy blue scrubs.Additional Information: Travelers may be asked to precept or do charge - depending on their comfort level - when there are needs we cannot cover. We do engage in a conversation about this first, and if there is not a comfort level we will respect that.

Cancellation Policy: 2 shifts per 13 week assignment and 1 shift for assignments less than 13 weeks.

Charting System: EPIC

BSN Required: No

License to Submit: No

Trauma Level: Care Setting:Acute Division: Shift Notes:3x12 hour nights 7p-730a; every other weekend, rotating holidays

Required Certifications: ACLS (AHA), BLS (AHA),

NIHSS :91