Travel Nurse RN - CCU - Coronary Care
Rome, GA
Lamb Staffing
3x8 hrs, Nights
Relocation Bonus

RN - ICU ● About Facility: o Turner McCall Blvd, Rome, GA 30165 o 361 licensed beds o Level 2 Trauma Designation o Teaching Hospital? Yes, Residency Program o Chest Pain Center o Stroke Center ● Department Information: o Minimum Years of Experience required? 2 years in requested specialty o Will you accept a first-time traveler? Will consider, not preferred ● Patient Types/Common Diagnoses: ED: o General ED population for Level 2 Trauma Chest Pain/Cardiac events, Stroke, Trauma GSW, Stabbings, MVC, Falls, etc.; Respiratory illnesses, Seizures, Abdominal illnesses and infections, ETOH/CIWA, IVDA, Mental Health Medical-Surgical Floors: o 3 MedSurg (Overflow Difficult to place patients 27 beds): Syncope, Fever and Chills, Intractable N/V, Failure to thrive, Cellulitis, Vascular dementia, Cerebrovascular disease, History of CVA. o 3 North (Oncology 20 beds): Immunocompromise patients, Cancer pts , end of life care, respite, palliative care patients, do chemo infusions (This floor will be moving to 2 MedSurg on Northeast building soon). o 4 East (Ortho 16 beds): Medical and surgical ortho patients including fractures of different bones and joints (open closed), MVC, trauma, Buck s traction. o 4 South (General Surgery Trauma 36 beds): Ureteral stone, Goiter, Hernia, Uterine Fibroids, Renal Mass, Diverticulitis with perforation, MVC, trauma, Bowel Obstruction, Breast Cancer for Mastectomy, Hematuria (irrigation), Fetal demise, DNC. o 4 Central (Pulmonology 22 beds): Acute respiratory failure, Hyperglycemia, Sepsis, Metabolic Encephalopathy, Dementia, COPD, Acute Kidney Injury, Failure to thrive, Pneumonia (This floor takes glucommander). o 6 Central (Vascular Bariatric Surgery 19 beds): End stage renal disease, Foot ulcer, Peripheral Vascular Disease, Morbid Obesity (take vascular and gastric bypass surgeries, also take glucommander). Critical Care Areas: o 4 West (Neurology Stepdown 23 beds ): Stroke, Seizures, Back pain, Lumbar surgery, s/p craniotomy, lumbar drains, AMS, Aphasia (This floor takes glucommander, Cardiac titratable drips). o 5 West (Cardiac Stepdown 34 beds): Chest pain, S/p Cardiac angiography with or without PTCA, CHF, Cardiomyopathy, Pneumonia, Palpitations, Syncope, Arrythmias, Angioedema, Hyponatremia, AMS, Sepsis, Acute Coronary Syndrome, A-Fib, Heart Block (takes glucommander, cardiac titratable drips, also do aqua pheresis). o Observation unit (Decision Unit Overflow for 5 West 11 beds): Facial numbness, CAD, A-Fib with RVR, Stroke-like symptoms, Chest pain, right or left sided weakness, Acute respiratory failure (takes cardiac titratable drips, bedside cardiac monitors in all rooms). o ICU (Medical, Surgical, Neuro, Cardiac all combined 26 beds): Drug overdose, Psychosis, MI, Subarachnoid hemorrhage, MVC, Sepsis, ARF, AAA, Acute hypoxic respiratory failure, Hypoglycemia, Pneumonia, Suicide attempt (has pts on Life link, CRRT, Intra-aortic balloon pump). Travelers not assigned CRRT and IABPs. ● Required License, National Certification, Certifications (BLS, ACLS, NIHSS, etc.), or other position specific requirements such as Driver's License and/or Insurance: o ED RN: ACLS, BLS, NIHSS, TNCC and CPI (we will offer this if they do not have CPI) for all nurses o ICU RN: ACLS, BLS, NIHSS, and CPI (we will offer this if they do not have CPI) for all nurses; TNCC (preferred) o PCU and Med/Tele RN: ACLS, BLS, NIHSS, and CPI (we will offer this if they do not have CPI) for all nurses ● Skills required: o ED RN: ER skills - arrhythmia monitory, sedation, paralytics, titratable drips knowledge, CVP monitoring, caring for s/p craniotomy pt, TPA administration, TNCC is a must , CEN preferred o ICU RN: ICU skills arrhythmia monitory, sedation, paralytics, titratable drips knowledge, CVP monitoring, caring for s/p craniotomy pt, TPA administration, CCRN TNCC preferred o PCU RN: PCU skills arrhythmia monitoring, knowledge of cardiac titratable drips o Med/Tele RN: Basic arrythmia interpretation, Foley catheter irrigation, PCA, Epidural, CPM, Buck s traction, Drains chest tube management o Nursing skills, with knowledge of cardiac drips, neuro, cardiac, pulmonary, ortho, trauma, and surgical patients. ▪ At our facility, we require 2 nurses to place foley catheter ● Ratios: o MedSurg: Days 1:5 but can increase to 1:6 in staffing crisis. Nights 1:6. o ICU: Days and Nights 1:2. Can go up to 1:3 depending on acuity o HAU (High Acuity Unit, PCU level): 1:3 ● Support within the Department: o CNA/ Nurse techs o Respiratory Therapists o Phlebotomists o Educator o Staffing specialist o Timekeeper/ Payroll specialist o Safety sitters o Virtual Patient Observers (VPO) o Virtual RN (currently on 4 West) o Security ● Technology/Equipment: o EMR: EPIC o Department specific Equipment- depends on the units, Glucommander, cardiac monitors, Precision BBG monitor, specialty beds, alarms, bed and chair alarms, BiPap, ventilators, Alaris pumps, Virtual RN, Virtual Patient Observer. ● Floating: If yes, where? o All med surg and Critical Care Areas (including ED boarders). If ICU or ER, we do use those as well. ● Orientation (facility and unit) : o 1 st week: NEO (Monday Friday 8:00am-4:30 pm) o 2 nd week: 2-3 days departmental (on the floor) ● Scheduling: o Weekend rotation: Every other o On call? If so, what is that schedule? If census is low, you may be asked to be on call, but this is rare. o Holiday Expectations: 70% of holidays o RTO Requests: If participating in Lamb Staffing Clinical Interviewing can we approve up to 7 days of RTO on your behalf, if traveler extends contract to accommodate? Yes o Shift times: 7a-7p and 7p-7a for med surg and critical care, ER may vary o Schedule cycle (how many weeks): 13 ● Other notes: o Scrub Color: Navy o Parking: Free? Yes o Department Culture: Teamwork, work as 1 group, speak up if you need help, assist when you see someone that needs help, answer call lights and rover phones timely. Telemetry is a priority and should be answered quickly and respond to the patient quickly.