Telemetry

Description: Type of patients on the unit: MI, CHF, Arrhythmias, PVD, and some med surg overflow. The department does many cardiac drips, we do not nitrate but we manage the drips.SHIFT: NIGHTS 7PM - 7AMSTART: ASAP REQUIREDLicenses, Registrations, or CertificationsBLS certification via AHA requiredACLS certification via AHA requiredRN License in state of employment or compactUNIT: True cardiac unit with the exception of post CV surgery patients (those go to 2N). While many see telemetry as more Med Surg, we take set rate cardiac drips, perform on the floor cardioversions, etc.Type of patients on this unit primarily cared for: Cardiac and Renal PatientsWhat equipment, therapies, or interventions should a traveler be comfortable managing independently

Cardiac drips (not titrated), dialysis patients (we do not perform dialysis itself but they should be familiar with the care of the lines and issues related to those patients), post procedure cardiac cath (radial band or femoral access), Bipap/highflow oxygen/occasional chest tube, What skills or characteristics separate travelers who are successful on your unit from those who struggle

First time travel nurses have not been successful on our unit. Staff with true cardiac unit experience with our patient ratios usually perform very well. If a staff member is missing either of those items (true cardiac experience or our patient ratios) they usually are unsuccessful. Greater than 3 years of nursing experience usually also helps with staff being more successful. Without the critical thinking skills of a seasoned nurse, staff are not able to pick up the needed skills in one shift to perform well.What are your typical nurse-to-patient ratios, and what volume of admissions, discharges, or transfers should a traveler expect during a typical shift

Typical ratios are 6: 1. We may go 5:1 during great staffing days. We have a VERY High volume of admissions and discharges for the unit. We usually average about 20 discharges out of the 52 beds, however we have had up to 31 in one day before. Admissions usually are quickly placed after discharges are out the door and the room is cleaned as we have a very quick turnaround time. We try to spread those out across all nurses, however if more patients are discharged than expected, it may be 3-4 discharges/admissions on one team of 6 patients. The average would usually be 1-3 per team.What is one thing you wish every traveler knew before accepting an assignment on your unit

Travelers are a part of our team. We work as a team especially with high acuity critical patients in the very fast paced environment. But that also means that we hold travelers accountable as we do the rest of the team. Expectations are given on day one and are the same for every nurse we have.Summary:ThecompetentNurse,inthesameorsimilarclinicalsetting,practicesindependentlyanddemonstratesanawarenessofallrelevantaspectsofasituation.Providesroutineandcomplexcare,withtheabilitytoonlong-rangegoalsorplans.Continuestodeveloptheabilitytocopewithandmanagecontingenciesofclinicalnursing.Makesappropriateassignmentsanddelegatestoothercareprovidersasameanstohelpmanagetheclinicalsituation.Responsibilities:MeetsexpectationsoftheapplicableOneCHRISTUSCompetencies:LeaderofSelf,LeaderofOthers,orLeaderofLeaders.ConsistentwiththeANAScopeandStandardsofPractice,providesnursingcareutilizingthenursingprocess,includingassessment,diagnosis,planning,interventionandevaluationforassignedpatients.Addressesincreasinglycomplexpsychological,emotional,cultural,andsocialneedsofpatientandfamiliesinaccordancewiththeirlevelofpractice.Usingtheappropriateprotocol,administersmedicationsandtreatments;monitorsforside-effectsandeffectivenessofthetreatmentprescribed.Documentspatienthistory,symptoms,medication,andcaregiven.Assesslearningneedsandprovideseducationtopatients,familymembersand/orcaregivers;identifyissuesandresources.JobRequirements:Education/SkillsBachelorofScienceDegreeinNursing,preferredExperience1yearofexperienceintherelatednursingspecialtypreferredLicenses,Registrations,orCertificationsBLS certification via AHA requiredACLScertification via

AHA requiredRNLicenseinstateofemploymentorcompactPositionRequirements:Education/SkillsAllnewlyhiredexperiencedRNsmustattendNewNursesOrientationwithinthefirst30daysofhire.Newhiresarepreceptedbyadesignatedtrainedstaffmemberandinitialon-boardingrequirementsarevalidatedthroughsuccessfulcompletionofthedesignatedorganizationalentrycompetencyvalidationandaMedSurgspecificcompetencyvalidation.AllnewlylicensedRNsmayparticipateinaresidencyprogramorotherspecificorientation.Skillscompletionandcompetencycompletionwillbeachievedwiththepreceptoratthebedsideanddocumentedthroughtheprogram strackingsoftware.Completionofallannualcompetencyverificationrequirements.ExperienceOneyearofexperienceinarelatednursingspecialtypreferred.WorkSchedule:7PM-7AMWorkType:FullTime

General CommentsTypeofpatientsontheunit: MI,CHF,Arrhythmias,PVD,andsomemedsurgoverflow.Thedepartmentdoesmanycardiac drips,wedonotnitratebutwemanagethedrips.Temptopermisapossibility :91