Med Surg/Telemetry RN
Arroyo Grande, California
Arroyo Grande Community Hospital

RN (Registered Nurse) - MS/Tele

Overview

• Contract length: 13 weeks
• Shift: Days, 12-hour shifts (7a-7p)
• Hours: 36 per week
• Unit: Medsurg/Tele, 37 beds
• Weekends: Every other weekend
• Holidays: Worked in the permanent staff rotation
• Scrub color: Navy

Required Qualifications

• 2 full years of experience
• Active BLS
• Active ACLS
• NIH
• California RN license
• Completion of a 15-minute proctored EKG competency exam during orientation

Preferred Qualifications

• Travel experience

Staffing and Ratios

• Ratios: 1:5, or 1:4 for telemetry patients
• Charge nurse on every shift, who does not take a patient assignment
• Two nurse aides on each day and night shift
• Clinical team pre-screens candidates; managers conduct a second interview

Clinical Scope

• Telemetry: Monitor technician on staff; nurses must read and interpret strips
• Nurses read strips: Yes
• Drips: Cardizem and non-titrating heparin
• Ventilators: Does not manage ventilated patients
• IV team: None
• RT: Available 24/7
• Pharmacy: Not available 24/7; on call after hours with an outside pharmacy used after hours
• Hospitalist or intensivist: On call after hours
• Common diagnoses: Orthopedics, CHF, COPD, general surgeries, NSTEMI, pneumonia, alcohol-related conditions
• Patients with higher acuity are pre-screened for telemetry nurses

Floating

• May float to MS, Tele, or Rehab
• May also float to MS or Tele at another facility in the system