Telemetry RN
Martinsburg, WV
TNAA TotalMed RN
3x12 hrs, Nights
Referral Bonus

Unit PCU/Tele (Cost Center: Tele is 14) 2nd floor will be moved to a Stepdown
# Beds & Unit Specific Info "Currently PCU/Tele consists of 2 units:
1) 2nd Floor has 20-Beds - all private rooms
2) 6th Floor has 22-Beds (some private, some semi-private)
Unit Specic Info:
Navy blue - navy or white jacket - undershirt white or navy
Currently both floors are the same acuity level & are considered to be more Tele acuity vs. PCU/Stepdown. Future plans, possibly Summer 2021, is that the 2nd floor (located on the same floor as the ICU) will become a Stepdown unit with higher acuity patients, including the addition of ativan & insulin drips, as well as titrating drips (currently only do set-rate drips). The 6th floor would remain Tele acuity. "
Certs "BLS & ACLS are the only required certifications
Ok with 1st time travelers"
Ratios 1:5 for both Day & Night shift
EMR EPIC
Charge Nurse/House Supervisor This can vary day-by-day. Sometimes they have a "floating" Charge Nurse who goes between 2nd & 6th floor. Otherwise they have a Charge Nurse on each floor but they do take a full patient assignment
Nurse Aides When they are fully staffed they like to have 3 PCTon each floor; however, there are times when they might only have 1 PCT per floor
Weekend Requirement Every-other-weekend. Nights is Fri/Sat; Days Sat/Sun
Holidays The Director tries not to schedule travelers on holidays if possible; however, this will be based off the needs of the unit. The expectation would still be that travelers could work holidays if needed.
Scrub Color Navy blue - navy or white jacket - undershirt white or navy - hair must be natural hair color - No pink/purple/blue. Distasteful tattoos must be covered.
Tele Monitors Phillips Cardiac Monitors - 2 monitor techs/69 monitors but sometimes only have 1 - Currently have a central monitor station & hardwired in the rooms. The data from the monitors, vents, etc. flows directly into EPIC (only have boxes but will have some hardwired into the rooms later this year.)
Do nurses read strips? Q 4 hrs & export into pts chart but nurse has to go inot the cchart & document the strip & rhyhtme & doc that they revieweed it.
Drips Cardizem, Amiodarone, Labetolol, Dop, Dobutamine, Hep & Intetgrigl per protocol, Nitro, set rate
Vents Bipap, Cpap, High Flow managed per RT
Hospitalist or Intensivist in house Hospitalist in-house 24/7
IV Team No IV Team
RT 24/7 RT is in-house 24/7
Pharmacy 24/7 Pharmacy in-house 24/7 & on the unit during the day - Omnicell
Shifts "12's 7-730 for both day or night shifts
Use Kronos to enter schedule requests then the clinical coordinator enters & manager approves, at least 2 weeks in advance for 4 weeks at a time. Will allow block scheduling if in the contract. Sun - Sat (confirm if same as ICU) "
Floating Rarely float but if they did float ICU to overflow tele or Ortho/MedSurg
Floor specific orientation 1-2 depending on expeirente
Common diagnosis / Types of patients Elevated trop, no titration, no DKA, no vents, active cp, active CP, active CP, pre/post cath with & w/out intervention - post STEMI after recover ICU, NSTEMI, peritoneal dialy (will teach them), pacers, occas post-surg (hip if ortho full or have cardiac issue), oncology (if full),