RN - MedSurg/Tele
About Facility
- 777 Hemlock St, Macon, GA 31201
- 637 Licensed Beds
- Level 1 Trauma Designation
- Teaching Hospital
- Chest Pain Center
- Stroke Center
Unit Information
- Beds: 16
- Avg Census - 16 patients
- Experience: 2+ years - Med/Tele RN experience
- First-time travelers welcome
Patient Types/Common Diagnoses
- Chest pain, syncope/vomiting, abdominal pain, cellulitis, COPD exacerbation, heart failure observation, dehydration, hypertension, diabetes, POD#1 requiring hospital stay overnight, simple trauma, MVC, fall
- Waiting an Inpatient Room for admission (used to decompress the ER)
Patient Ratios
- RN: 1:4-6
- LPN: 1:4-6
- CNA: 1-2 per shift
Required License, National Certification, Certs (BLS, ACLS, etc.), or other position specific requirements such as Driver's License and/or Insurance
- RN License (associate's degree at a minimum)
- BLS, ACLS, and NIHSS required
- BCR (Basic Cardiac Rhythm) - test completed during onboarding
Skills required
- trach care, chest tube management, PIV starts, glucommander, insulin drips ( required ), heparin drips, drips to titrate to HR NOT BP
- Strong clinical assessment and time management
- IV insertion and Maintenance skills
- Cardiac monitoring and interpretation
- Care coordination with interdisciplinary teams
- Discharge planning knowledge and patient education
Support within the Department
- CNA: assist with VS, Glucose Checks, baths, feeding, ambulating patients, assisting turning patients, hourly rounding, transporting patients as needed (Hospital has designated Transport Team); obtain blood from blood bank
- Unit secretary on unit 7a-11p; then house wide call secretary 11p-7a
- Charge nurse - may or may not have patient assignment
- Phlebotomy: Most units are lab collect phlebotomy; nurses drawn from CVLs
- IV/VAT team: No IV team- do have a PICC team
- Resource nurse: Yes, we have discharge nurses and Resource team floats to all units
- RT 24/7
- Hospitalist 24/7
- Intensivist 24/7
- Telemetry monitor tech: Central Telemetry Unit
Technology/Equipment
- EMR: EPIC
- IV Pump: Alaris
- Med dispensing: Pyxis
- Monitors: Phillips
Unit specific equipment
- VS3 vital sign monitors, Nova Glucose Stat Strips Cardiac Telemetry monitoring
- Portable vital signs monitors (Dynamapp)
- Bladder scanners, IV pump, portable oxygen system
- Glucommander
- PCA pain management
- Suction machine
- Use of admission/ discharge protocol for rapid turnover
Floating
- All adult med surg / telemetry units in house
Orientation (facility and unit)
- 1 day orientation with work on educational modules
- 2 days departmental< Active state license in good standing; minimum 1 year of recent experience in the specialty; BLS required for clinical roles; references upon request