Trauma Stepdown RN
Denton, TX
TalentBurst, Inc
3x12 hrs, Nights

Position - TRAVEL - RN -Trauma Stepdown (636) MC Denton - 7P-7A

Unit Information: Surgical Trauma-63610
Location: Medical City Denton
Address: 3535 S. Interstate 35E
Floor: 5th floor
Building: Main
General Information
Tell us about the unit(s):
Number of Beds - 25
Number of Staff – 44 FTE's (57 headcount)
Type of staff:
Day Shift – 1 charge/6 RN's/3 techs/1 secretary
Night Shift – 1 charge/6 RN's/3 techs
Patient Ratios – 1:4 (1:5 max for stepdown)
Type of equipment -
EMR – Meditech
On Call Requirement – none
Floating Requirement - to stepdown service lines (Progressive Care Unit/Heart and Vascular Unit)
Typical hiring profile
Skill Set Most recruited for: (Travel RNs, local CNAs and sitters)
Must have: candidates without these skills will not be considered for the role.
ACLS, BLS, NIH
Great customer service skills
Preferred or nice to have: candidates with these skills will be considered first.
Trauma/Orthopedic experience
Meditech experience
List typical procedures performed on unit(s):
· Patients requiring acute surgical intervention/consultation or post op care including:
· Trauma Surgery
· Bariatric Surgery
· Vascular Surgery
· Traumatic Brain Injury
· General Surgery
· Urological Surgery
· Orthopedic Surgery
· Neuro / Spine Surgery
· GI Bleed / Endoscopy
· Pulmonary Embolus
· Patients with neurological diagnosis including but not limited to: CVA, TIA, TBI, S/P Neuro-Surgery, Altered Mental Status
· Meningitis
· New onset Seizures ·
· Hypertensive Crisis ·
· Chest Pain, CHF ·
· Sepsis – Hemodynamically Stable ·
· Alcohol Withdrawal ·
· Pre and Post Cardiac Cath Lab procedural patients (***HVU***) ·
· Post–op CV surgery patients when hemodynamically stable (***HVU***)
· Unstable angina, suspected MI (NSTEMI & STEMI). (***HVU***) ·
· Chest pain rule out patients (***HVU***) ·
· Chest pain with acute EKG changes and or elevated troponin. (***HVU***)
· Patients with acute cardiac dysrhythmias requiring IV/PO medication management · Hypertensive Urgency ·
· Mild-Moderate congestive heart failure; with elevated BNP, and/or pulmonary edema on chest x-ray without shock ·
· Respiratory distress patients with documented Sp02 88% or below on room air requiring Venti mask, BiPAP or CPAP ·
· Post-op Femoropopliteal bypass, peripheral stents, post aortograms ·
· Post-op CEA ·
· Pulmonary Embolus requiring Heparin Drip ·
· Patients meeting PACU discharge criteria ·
· Vital Signs: HR 50-150 o BP > 90 mmHg and < 180 mmHg Systolic
· Dyspnea with respiratory rate < *** breaths/min or > 10 breaths/min.
· Oxygen Saturation greater than 90 · Patients receiving the following Intravenous drips:
· Agatroban o Agrastat/Integrelin/ReoPro o Amiodarone o Cardene o Cardizem o Dobutamine (Renal/Heart failure dose) o Dopamine (Renal/Heart failure dose) o Heparin o Lasix o Morphine or Ativan for palliative care o Nitroglycerin o Primacor o Sodium Bicarbonate
Best personality Fit:
Team player
Adaptable to changing environment
Good communication skills

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