Med Surg / Telemetry RN
Montgomery, AL
Thrive Staffing
3x12 hrs, Nights

About the Facility

This facility is a 492-bed, Level I Trauma Center with a Level III NICU and is designated as a Primary Stroke Center. The facility welcomes first-time travelers with a requirement of a minimum of 18 months of experience in MedSurg and/or ICU, along with EPIC or Cerner experience. If the applicant has strictly ICU experience, Cerner experience is mandatory. Note that staff must be away for 6 months before returning as a traveler.

Home Unit Assignment

Upon commencing orientation, you will be assigned a home unit.

Patient Ratios

• Typical RN patient ratio of 1:4.
• For the lower patient ratio, RNs are expected to assist with patient care tasks, including turning patients, baths, and activities of daily living (ADLs).
• High-quality care is expected with lower patient loads.

Unit Information

6 North Trauma Surgical

• Beds: 23
• Patient Types: General Surgery and Vascular surgeries
• Required Skills: Trauma/surgical experience, wound care, chest tubes, NGT, IV skills, medication administration, and documentation.

5 South Neuroscience

• Beds: 33
• Patient Types: CVA, TBI, Seizures, AMS, Spinal Fusion, Craniotomies, Degenerative Diseases, post-trauma, angiograms.
• Required Skills: IV starts, blood draws from central lines, trach care, PEG, NGT care, colostomy/ostomy care, wound care, chest tube management, surgical site care, C-Collar application, abdominal binders, restraints.

5 North MedSurg/Oncology

• Beds: 39, with 2 Charge RNs (no patient assignment).
• Patient Types: A variety of cases except stroke and myocardial infarction; includes palliative care and ETOH withdrawal. High acuity and fast-paced MedSurg.
• Patient Ratios: 1:4-5 for RNs and LPNs.
• Required Skills: Trach care, chest tubes, PEG tubes, wound care, drains, foleys, IV starts, chemotherapy administration (if certified).
• Tele monitoring takes place on hallway monitors and with tele techs.

3 South Orthopedics

• Beds: 20
• Patient Types: Orthopedic and spine patients including joint replacements, fractures, and fusions.
• Required Skills: PCA pumps, wound care (including negative pressure dressings), dressing changes, foley catheters, and drains.

3 North MS/Ortho/Urology

• Beds: 23
• Patient Types: Urology, ENT, orthopedic, MedSurg.
• Required Skills: Trach care, wound care, wound vacs, IV starts, CVL dressing changes, and adherence to nurse-driven foley protocols.

Required Certifications

• BLS certification
• NIHSS certification

Unit Support

• CNA ratio: 1:10-12 for vital signs, ADLs, and glucose checks when available.
• Receptionist/HUC available.
• Charge nurse present, rarely taking assignments.
• Phlebotomy services available.
• IV/VAT Team available.
• Hospitalist services are provided.
• Telemetry monitoring is conducted by Telemetry Techs, and RNs are required to interpret and confirm telemetry strip readings every 4 hours.

Technology and Equipment

• EMR: Cerner (EPIC experience also considered)
• IV Pumps: Plum 360
• Medication Dispensing: Omnic