Registered Nurse - MedSurg/Tele

Lambstaffing; Albemarle (NC); On-site; USD 62,000 - 90,000; Full time

Job summary

Lambstaffing is seeking an experienced Med/Tele RN travel nurse for a 35-bed unit in Albemarle, NC. The assignment requires 18 months of Med/Surg/Tele RN experience, plus BLS, ACLS, and NIHSS. You’ll care for general medical and surgical patients, including stroke and CHF, with RN:P ratio guidance and continuous telemetry monitoring.

Expect to float regionally as needed, with 24/7 hospitalist support and on-site resources. EPIC EMR, Omnicell dispensing, and Masimo monitoring are used on the unit.

Qualifications

• Minimum 18 months Med/Surg/Tele RN experience.
• BLS, ACLS, NIHSS required (Resource Team).
• Current RN license for North Carolina.

Responsibilities

• Provide med/surg nursing care for stroke, CHF, COPD and post-op patients.
• Perform post-op care, wound, drain and tube management as needed.
• Administer medications including cardiac drips and blood products.
• Interpret cardiac rhythms and monitor telemetry; respond to changes.
• Float within region per staffing needs and under scope of practice.

Skills

Post-op care

Orthopedic experience

TPN/PPN

Chest tube management

Cardiac rhythm interpretation

Trauma-informed care

Tools

EPIC EMR

Alaris IV Pump

Omnicell

Phillips monitors

Masimo

Job description

About Facility:

• 301 Yadkin St, Albemarle, NC 28001
• 109 Licensed Beds
• No Trauma Designation
• Not a Teaching Hospital – no residents/students
• Advanced Primary Stroke Center
• Radius rule: Traveler’s permanent address must be 50 miles outside of home unit

Unit Information:

• Beds: 35
• Average Census: 22
• Minimum Experience required: 18 months Med/Tele RN exp (Resource Team requirement)
• First-time travelers: Not preferred, will consider

Patient Types/Common Diagnoses:

• General Med/Surg patients – Stroke, CHF, COPD, Respiratory Illnesses, Diabetes, Post-Surgical, Behavioral Health, etc.

Patient Ratios:

• RN: 1:5-6, acuity dependent - (surge staffing could increase ratios up to 1:7-8)
• LPN (if applicable): 1:5
• CNA: 1:10

Required License, National Certification, Certs (BLS, ACLS, etc.), or other position specific requirements such as Driver's License and/or Insurance:

• BLS, ACLS, NIHSS (Resource Team requirement)

Skills required:

• Post-op care, Orthopedic experience, TPN, PPN
• General Med/Tele skillset: Stroke experience/NIH assessments, Chest tube management, PIV starts, trach care, Cardiac rhythm interpretation, NGT placement, drain/tube management (Dobhoff, PEG tubes, Hemovac, JP drains, flexiseals, foley insertion/management, etc), PCA pumps, wound care
• Medication gtt management to include: Cardiac drips (Diltiazem), Heparin, blood products, IVF

Support within the Department:

• CNA duties: Yes – all duties within scope
• Unit secretary/HUC: Only on dayshift
• Charge nurse – may or may not be in staffing
• Phlebotomy
• IV/VAT Team, only on dayshift
• Resource Nurse – as staffing allows
• RT, 24/7
• Hospitalist, 24/7
• Intensivist, 24/7
• Telemetry monitoring/tech – available for this unit but RN will have to read own Tele strips when floated to other units

Technology/Equipment:

• EMR: EPIC
• IV Pump: Alaris
• Med dispensing: Omnicell
• Monitors: Phillips
• Unit specific equipment: Masimo

Floating:

• Within Stanly - Med/Tele, ICU, PCU (if open), ED
• Within region and scope of practice
• Will be required to float per region needs – will require floating to all facilities listed below, as needed, within scope of practice – DECLINE if not agreeable
• Region 1 - Cabarrus, University City, Stanly, Lake Norman, Central Division (CMC Main + Mercy + LCH (peds only) -- could float to any of the facilities within region if the need arises
• If floating mid-shift, Traveler will be paid for the time traveling between facilities (will remain on the clock)

Orientation (facility and unit):

• NEO
• 2 days departmental (we complete 3 days orientation at Stanly)

Scheduling:

• Weekend rotation: every other
• No call for Active state license in good standing; minimum 1 year of recent experience in the specialty; BLS required for clinical roles; references upon request