Travel Nurse RN - Psychiatric
Bronx, NY
Talent4Health
3x12 hrs, Days, Nights

NY license required

Psychiatric Unit recent 1 year exp required

Shift 12 hr night or days both shift available 

Skills Required

Experience or 'Must have' skills
"Must have 1 year of psych experience. Prefer someone with some medical experience (MS, MS-Tele, PCU, ICU, etc), ideally recent. Do NOT need prior ED experience
Prefer someone with de-escalation experience and restraint use"

Unit Notes

Department: Adolescent Psych CPEP | RN

BronxCare does not allow part time or second jobs, this is expected to be their primary job. As they are filling in scheduling gaps and they do not allow block scheduling. Per Diem jobs are to be considered on case to case basis, however the facility will NOT accommodate working around a per diem position- please ensure traveler is understanding of this.
 

NO FIRST TIME TRAVELERS - 

Required Certifications

ACLS, BLS (AHA), BronxCare Hospital Center - Grand Concourse Campus De-escalation Training, PALS

Scheduling

Shifts & Scheduling (Do you allow self-scheduling? Block scheduling?)
Will be scheduled according to the needs of the units, they are expected to fill gaps in permanent scheduling

Weekend Requirements:
Every other weekend

Holiday Requirements:
May be asked to go into the Holiday Rotation

Is there call or a standby requirement?
None

Certifications Required

Required Certifications (i.e., BLS, ACLS, PALS, TNCC, ENPC, NRP, NIHSS?)
"BLS, ACLS, PALs; Also required before starting is one of the following certifications: Handle with Care; TRUST Training; CPI- Crisis Prevention Institute; PMCS- Preventing and Managing Crisis Situations; or MOAB"

Floating Requirements
"Travelers are first to float.

Any RTO to be requested for (potential approval) prior to contract start, after start it will not be considered.
Float to any adolescents or adult psych unit; 1 orientation shift in inpatient, 1 LRC, 1 CPEP, 1 Detox."

Charting System

Allscripts

Facility Details

Beds

"40 Beds, divided into sections; 30 Adult Beds; 20 Child Adolescent Beds Will work both areas"

Fast Track/Triage:
1 Section designated to triage and fast-trak patients

Is Security in-house 24/7? Housed in the ER?
Available in house 24/7

On average, how many patients do you treat in the ER/day?
15-45/day

Nurse Staffing

Nurse: Patient Ratios
"1:6-12 depending on acuity - Typical Staffing: 2 Triage RNs, 4 RNs designated to Adults, 1 RN designated to Pediatrics/Adolescents, and 1 Charge (8 RNs Totals) Travelers typically do not do Charge"

Charge Nurse/House Supervisor? Does the charge nurse take an assignment?
"Directior oversees entire facility; Charge ocassionally will take a patient, depends on the census"

Patient Population

Common diagnoses/Types of patients
"Patients with severe mental illnesses and behavioral issues including schizophrenia, bipolar disorder, major depressive disorder, anxiety, depression, trauma, and more; often patients will have multiple comorbidities, but are typically medically stable. Medically unstable patients are transferred out"

Medications

Medications:
"No IVs IM injections and PO medicaiton administration Psychotropics (Haldol, Zyprexa, Ativan, etc.)"

Provider Coverage

ED Physician/Mid-Levels
"3 psych physiciaion on days, 1 psych physician and 1 psych resdient on nights 1 Medical Physician on each shift. Physician Shifts: 8-8"

Support Staff

Nurse aids/EMT/Paramedics/Patient Sitters? Ratios? Duties?
"PCTs - Job Duties: Phlebotomy, 12 Lead EKGs, 1:1s, transport, ADLs, pt contraband search, property inventory, assisting physicians and nurses, and more"

Respiratory Therapy

Is RT in the ER 24/7? Do they do ABG's, breathing Tx, & EKG's?
Yes, RT available RT Equipment (Vents, Cpap, BiPap, High Flow, etc.)

Are RNs required to do anything with these besides trouble shoot?
RT available and will administer breathing treatments and assist in escalating any resp needs; Equipped to intubate patients when need but then would transfer them out.

Monitoring / Telemetry

Do you have Monitor Techs in the ER? Are RNs required to read their own strips? What brand are the Tele monitors?
"Rare portable Cardiac monitoring,Tele available for code situation and RNs asked to be able to identify major rhythms, life threatening rhythms, and rhythm changes. Also tele for a short period if FDNY brings in a patient they had to sedate. Will transfer from here up to main hopsital."

Imaging

X-Ray or CT in the ER? Transport?
Xray and CT available in main MER, PCTs transport

Lab Services

Does Phlebotomy draw labs or RN's draw?
PCTs do blood draws

Dress Code

Scrub Color/Dress Code
Royal Blue

Orientation

Unit/Department specific orientation
Several days of floor specfic orientation