Local Contract Nurse RN - PCU - Progressive Care Unit
Rome, GA
TalentBurst, Inc
3x12 hrs, Nights

Title: RN- PCU

Location: Rome Georgia 30165

Duration: 8 Weeks

Shift: 12hr Night Shift - 36Shift Information: 1900 - 0700 Clinical Interviewing- YesOn Call, Call Back Requirements: If census is low, you may be asked to be on call, but this is rare.Weekend Rotation: EOWHoliday Requirements: 70% of holidaysFloating Requirements: All med surg and Critical Care Areas (including ED boarders). If ICU or ER, we do use those as well.
About Facility:

• 304 Turner McCall Blvd, Rome, GA 30165
• 361 licensed beds
• Level 2 Trauma Designation
• Teaching Hospital: Yes, Residency Program
• Chest Pain Center
• Stroke Center

Department Information:

Minimum Years of Experience required: 2 years in requested specialty

Will you accept a first-time traveler: Will consider, not preferred

Patient Types/Common Diagnoses:

ED:

• 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:

• 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.
• 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).
• 4 East (Ortho – 16 beds): Medical and surgical ortho patients including fractures of different bones and joints (open & closed), MVC, trauma, Buck's traction.
• 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.
• 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).
• 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:

• 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).
• 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).
• 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).
• 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:

• ED RN: ACLS, BLS, NIHSS, TNCC and CPI (we will offer this if they do not have CPI) for all nurses
• ICU RN: ACLS, BLS, NIHSS, and CPI (we will offer this if they do not have CPI) for all nurses; TNCC (preferred)
• 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:

• 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
• ICU RN: ICU skills – arrhythmia monitory, sedation, paralytics, titratable drips knowledge, CVP monitoring, caring for s/p craniotomy pt, TPA administration, CCRN & TNCC preferred
• PCU RN: PCU skills – arrhythmia monitoring, knowledge of cardiac titratable drips
• Med/Tele RN: Basic arrythmia interpretation, Foley catheter irrigation, PCA, Epidural, CPM, Buck's traction, Drains & chest tube management
• 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:

• MedSurg: Days 1:5 but can increase to 1:6 in staffing crisis. Nights 1:6.
• ICU: Days and Nights 1:2. Can go up to 1:3 depending on acuity
• HAU (High Acuity Unit, PCU level): 1:3

Support within the Department:

• CNA/ Nurse techs
• Respiratory Therapists
• Phlebotomists
• Educator
• Staffing specialist
• Timekeeper/ Payroll specialist
• Safety sitters
• Virtual Patient Observers (VPO)
• Virtual RN (currently on 4 West)
• Security

Technology/Equipment: EMR: EPIC

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:  All med surg and Critical Care Areas (including ED boarders). If ICU or ER, we do use those as well.

Orientation (facility and unit):

• 1st week: NEO (Monday – Friday 8:00am-4:30 pm)
• 2nd week: 2-3 days departmental (on the floor)

Scheduling:

• Weekend rotation: Every other
• On call: If so, what is that schedule: If census is low, you may be asked to be on call, but this is rare.
• Holiday Expectations: 70% of holidays
• RTO Requests: If participating in SimpliFi Clinical Interviewing – can we approve up to 7 days of RTO on your behalf, if traveler extends contract to accommodate: Yes
• Shift times: 7a-7p and 7p-7a for med surg and critical care, ER may vary
• Schedule cycle (how many weeks): 13

Other notes:

• Scrub Color: Navy
• Parking: Free: Yes
• 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.

 

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