Travel Nurse RN - Med Surg / Telemetry
Spokane, WA
Wellspring Nurse Source
3x12 hrs, Days

About the Facility

This facility operates as a Level III Trauma Center and features 123 beds. It is a smaller community hospital located in Spokane Valley, WA.

Unit Information

• Experience Required: A minimum of 1 year of telemetry or progressive care unit experience is required.
• First-Time Travelers: Accepted.

Patient Types and Common Diagnoses

Nurses may float between various areas and provide care anywhere in the hospital within their scope of practice.

• 3rd Floor: Medical/Surgical Unit (44 Beds)
  • Medical Patients: COPD, CHF, Sepsis, AKI/CKD, DVT, PE, cellulitis, pancreatitis, ETOH.
  • Surgical/Ortho Patients: Total joints (knees/hips), GI procedures (exploratory lap, hemicolectomy, bowel resection), GU procedures (TURP, cystostomy), GYN procedures (total/partial hysterectomy), podiatry, ENT.
  • Telemetry Capable: Telemetry tech in addition to bedside monitoring.
• 2nd Floor: Acute Respiratory Floor (16 Beds)
  • Patients with COPD, pneumonia, CHF, and other respiratory issues.
  • High flow oxygen and BiPap administered.
  • Respiratory Therapy offices adjacent to this unit, with immediate access to ICU for rapid response on declining patients.
• 1st Floor: ED/MS Overflow
  • Observation and general MedSurg patients.
• Progressive Care
  • Responsibilities include caring for PCU level patients only, without ICU patient assignments.
  • Patients may include Afib RVR, medical and surgical progressive care patients, but exclusion of cath lab, major cardiac surgeries, major neuro surgeries, and major trauma patients.

Patient Ratios

• Medical/Surgical Unit: 1:5 ratio.
• Progressive Care Unit: 1:3 ratio, with no CNA support.

Required Qualifications

• Active BLS and ACLS certifications.
• Cardiac rhythm interpretation exam to be completed during compliance process.

Skills Needed

• High flow oxygen administration, chest tube care, peripheral IV starts/maintenance.
• Wound care, dressing changes, wound vacs, and drains (JP, hemovacs).
• Pain management and PCA administration.
• Central line management and cardiac rhythm interpretation.
• Experience with medication drips including Heparin, Amiodarone, Cardizem, and Nitro.

Department Support

• Certified Nursing Assistants available on Medical-Surgical units.
• Charge RNs may share patient assignments while being an available resource.
• Phlebotomy services offered 24/7 for peripheral draws.
• Respiratory Therapy support available 24/7.
• Hospitalist coverage available 24/7.
• OT, PT, SLP services accessible during day shifts.
• Rapid Response and Code Team on call.
• Centralized telemetry monitoring with technicians present 24/7.

Technology and Equipment

• Electronic Medical Records: EPIC.
• IV Pump: ICU Plum Medical.
• Medication Dispensing: Pyxis.
• Monitors: Unit-specific equipment available.

Orientation and