Trauma Stepdown RN
Denton, TX
Host Healthcare
3x12 hrs, Nights
Referral Bonus

Trauma Stepdown RN

Overview

• Travel RN role in Trauma Stepdown
• 7P–7A schedule
• 36 hours per week
• 13-week contract
• Unit: Surgical Trauma-63610
• 25-bed unit on the 5th floor of the Main building
• Floating to stepdown service lines: Progressive Care Unit and Heart and Vascular Unit

Required Qualifications

• Valid RN license in Texas
• Associate of Science in Nursing / Associate Degree in Nursing
• ACLS
• BLS
• NIHSS
• Trauma experience
• PCU - Progressive Care Unit (1 year of experience)
• PCU - Progressive Care Unit experience within the last year

Preferred Qualifications

• Trauma/Orthopedic experience
• Meditech experience

Unit Details

• Patient ratio: 1:4, with 1:5 max for stepdown
• No on-call requirement
• Telemetry monitoring
• Vitals every 4 hours
• Q4 patient assessment

Clinical Scope

• Trauma surgery
• Bariatric surgery
• Vascular surgery
• Traumatic brain injury
• General surgery
• Urological surgery
• Orthopedic surgery
• Neuro / Spine surgery
• GI bleed / endoscopy
• Pulmonary embolus
• Neurological diagnoses including CVA, TIA, TBI, s/p neuro-surgery, altered mental status
• Meningitis
• New onset seizures
• Hypertensive crisis
• Chest pain and CHF
• Sepsis, hemodynamically stable
• Alcohol withdrawal
• Pre- and post-cardiac cath lab procedural patients
• Post-op CV surgery patients when hemodynamically stable
• Unstable angina and suspected MI, including NSTEMI and STEMI
• Chest pain rule-out patients
• Chest pain with acute EKG changes and/or elevated troponin
• Acute cardiac dysrhythmias requiring IV/PO medication management
• Hypertensive urgency
• Mild to moderate congestive heart failure with elevated BNP and/or pulmonary edema on chest x-ray without shock
• Respiratory distress with documented SpO2 88% or below on room air requiring Venti mask, BiPAP, or CPAP
• Post-op femoropopliteal bypass, peripheral stents, and post aortograms
• Post-op CEA
• Pulmonary embolus requiring heparin drip
• Patients meeting PACU discharge criteria
• IV drips used on the unit: Agatroban, Agrastat/Integrelin/ReoPro, Amiodarone, Cardene, Cardizem, Dobutamine, Dopamine, Heparin, Lasix, Morphine or Ativan for palliative care, Nitroglycerin, Primacor, Sodium Bicarbonate

Additional Notes

• Level 2 trauma center
• 90% of inpatients come from the ED