Job info

Location: Sacramento, California Shift: Days, 12-hour shifts (36 hours/week) Contract Length: 13 weeks (travel) Unit: Med Acute, 2nd floor, 27 beds

Experienced MedSurg/Tele RN
2 years of experience
Active BLS, ACLS, and NIHSS certifications
Active California RN license
Proficient at reading and interpreting telemetry strips
Comfortable adapting to a multicultural environment, open and respectful of cultures and dialects

Two supervisor references: one within the last 12 months and one within the last 3 years worked
Copy of driver's license, with the legal name matching the government-issued ID used for the Pulse profile (no middle initial or middle name)
Required online exam completed within 24-48 hours before signing the contract. Two attempts are allowed to score 80%. Submit a screenshot showing the number of attempts and a PDF of results.
Failing the second attempt results in a 6-month do-not-use (DNU) status for the facility group's Arizona and Sacramento locations.

Patient ratios: 1:4 to 1:5 (Tele 1:4, MedSurg 1:5). Can take 8-12 Tele patients.
Patient types: General MedSurg (GI, GU, CHF, pneumonia, sepsis, chest tubes, COVID, myomectomy, bariatrics, abdominal plasty, mastectomy, ortho pre- and post-op, short-stay elective post-ops, psych, EtOH withdrawal, inmates). Many county care patients. Low-income area with common homelessness, substance abuse, and low health literacy.
Surgeon-specific protocols: Travelers are oriented to them.
OB overflow: Couplets are sometimes assigned. OB RNs float to cover them.
Language access: Heavy use of translator services (Proprio, Language Line, tablets, Spectralink, and Zoom). Portable tablets or cameras are available for some patients.
Drips: RNs titrate drips. Common titratable drips include heparin, diltiazem, and amiodarone (adjusted per orders).
Charge nurse: Generally does not take patients but provides break relief.
RN aides: Available as census and staffing dictate (2 days, 2 swing, 1 night).
Respiratory: No ventilators. Patients may bring home CPAP with an MD order. BiPAP and high-flow are used, with respiratory assistance.
Monitoring: No monitor techs. Strips are printed every 4 hours and must be verified and charted by the RN.

Scheduling: Self-scheduling is used but not finalized until the manager balances it.
Weekends: Every other weekend (nights Friday and Saturday, days Saturday and Sunday).
Holidays: Work 2 of 3 major holidays (Thanksgiving, Christmas, New Year's). Rotate in with core staff. Managers make the final call. Holiday time off will be considered but is not guaranteed.
Float scope: In-house float to ER holds, between MedSurg and Def Obs units, and other facilities in the Sacramento area. Mid-shift float to another facility is rare.
Orientation: 1-2 days on the floor with a preceptor.
Traveler policy: Acceptable for first-time travelers if they ask for support.

Scrubs: Navy. Undershirts must be navy, white, or black. Scrub jackets are optional and must be navy.
Restrictions: Minimal or no perfumes or scents. No headphones or cell phones in patient care areas.