ED Telemetry Holds Nurse
Chandler, AZ
TheraEX Staffing Services
3x12 hrs, Nights

Trauma Level:
1
Charting System:
Cerner

Unit Notes
Auto Offer off of Prescreen
MUST BE ABLE TO TITRATE CARDIAC DRIPS!!

**Travelers will need to pass a dysrhythmia exam PRIOR TO SIGNING CONTRACT (2 MAX ATTEMPTS), within 48 hours of offer. If traveler fails, they will be sent home and made a DNU for 6 months for CSH AZ and CSH Sac regions

**There is also a pass/fail Sim Lab on day one of orientation. If traveler fails Sim, they will be sent home and made a DNU for 6 mo

***Will float between all Tele and MedSurg units****

Floating is required. Depending on skill level, nurses will float to ICU, Cardiac Tele, as well as all Tele units, MedSurg, any & every holding area (this could be in the Cath Lab, ER, observation floor, even a hallway) They staff the observation floor 1st, then the other units. Floating would include between Chandler & Mercy Gilbert campuses. Notification of campus and unit given 1.5 hrs prior to shift start. Floating to different units mid-shift can happen. Rare to float to another campus within a single shift, but possible. The distance between the 2 campuses is 9 miles. Depending on traffic takes 15 minutes. All interstate. Must clock-out when leaving one campus then clock-in when arrive at the other campus.

***Tele B3A***
- Unit: CV Tele B3A
- # beds :32 bed
- Certs: BLS, ACLS
- Ratios: 1:3-4
- Charge Nurse: Yes, no patient assignment. Also have a Clinical Supervisor in a management role.
- Techs: PCTs - 1 per every 16 patients.
- Weekend Requirement: Every other weekend.
- Scrub Color: Navy
- Tele: Centralized tele. RNs must be able to interpret EKGs.
- Vents: No
- Hospitalist or Intensivist in house: Hospitalist rounds during the day and on call at night.
- IV Team: No
- RT 24/7: Yes
- Pharmacy 24/7: Yes
- Shifts: 12 hr shifts. 7-7.
- Floating: To similar or lower acuity.
- Floor specific orientation: 2 days on the floor.
- Common diagnosis / Types of patients: Post cath lab, post vascular procedures, day 2 CABG patients, general tele. Amio, Cardene, Nitro, Heparin, Dobutamine to titrate down ONLY. No pediatrics, 15 y/o and older.

***Tele Neuro***
- Unit: A3 Neuro
- # beds: 28 bed
- Certs: BLS, ACLS, NIHSS
- Ratios: 1:3-4
- Charge Nurse: Yes, no patient assignment. Also have a Clinical Supervisor in a management role.
- Techs: PCTs - 1 per every 16 patients.
- Weekend Requirement: Every other weekend.
- Scrub Color: Navy
- Tele: Centralized tele. RNs must be able to interpret EKGs.
- Vents: No
- Hospitalist or Intensivist in house: Hospitalist rounds during the day and on call at night.
- IV Team: No
- RT 24/7: Yes
- Pharmacy 24/7: Yes
- Shifts: 12 hr shifts. 7-7.
- Floor specific orientation: 2 days on the floor.
- Common diagnosis / Types of patients: Neuro post surgical, post cranis, spine, CVAs post TPA.
- Additional Notes: No ICP monitoring.


**Medical-Surgical C5**

- Unit: MedSurg C5
- # beds: 32 beds. Ortho, Surgical, Oncology
- Certs: BLS, ACLS
- Ratios: 1:4 ratio days and nights.
- Charge Nurse: Yes, does not take patients. Also has Unit Supervisor.
- Nurse Aides: PCTs on days. 1 PCT or Task RN at night.
- Weekend Requirement: 4 weekend shifts per 4 week period (days - Sat, Sun, nights - Fri, Sat). One major and minor holiday.
- Scrub Color: Navy
- Tele: Client Monitors. Central monitoring station tech to read.
- Vents: NA
- Hospitalist or Intensivist in house: Must call Physician.
- IV Team: No. House SWAT Nurse available for hard IV sticks.
- RT 24/7: Yes
- Pharmacy 24/7: Yes, ICU Pharmacist covers on days.
- Shifts: 12 hrs. 7-7.
- Floating: Float to MedSurg Tele B2C and B2D
- Floor specific orientation: 2 shifts on the floor.
- Common diagnosis / Types of patients: 80% Surgical, 20% Oncology. Ortho - JHACO certified knee and hip program. 8-10 elective knee/hips per week. Other - Urological, Abdominal, Whipple, Women's surgeries (no OBGyn).
- Additional Notes: Spectralink phones (call light attached to phone)

**Medical-Surgical B2C**

- Unit: MedSurg B2C
- # beds: 29 beds
- Certs: BLS, ACLS
- Ratios: 1:4 ratio, days and nights
- Charge Nurse: Yes, does not take patients. Also has Unit Supervisor.
- Nurse Aides: PCTS on days. 1 PCT or SWAT RN at night to task.
- Weekend Requirement: 4 weekend shifts per 4 week period (days - Sat, Sun, nights - Fri, Sat). One major and minor holiday.
- Scrub Color: Navy
- Tele: Client Monitors. Central monitoring station tech to read.
- Vents: NA
- Hospitalist or Intensivist in house: Must call Physician.
- IV Team: No. House SWAT Nurse available for hard IV sticks.
- RT 24/7: Yes
- Pharmacy 24/7: Yes, ICU Pharmacist covers on days.
- Shifts: 12 hrs. 7-7.
- Floating: Float to MedSurg Tele C5 and B2D
- Floor specific orientation: 2 shifts on the floor.
- Common diagnosis / Types of patients: General MedSurg patients that require tele. Amio, Cardizem to titrate down only.
- Additional Notes: Spectralink phones (call light attached to phone). Is the "new grad training unit", all new grads train with a "clinical scholar" for 4 weeks. Auto Offer off of Prescreen Recc.