Registered Nurse - Step down

REQUIRED SKILLS / CERTS / EXP:
Minimum Years of

Experience:

Must have 2 years of surgical unit experience Traveler

Experience:

Travel experience is preferred by not required Locals Accepted / Rate Difference:
Yes

Skills:

PCU/DOU/IMC/Stepdown. Interpretation of dysrhythmias, Management of dysrhythmias, use of Rapid Response Teams, Blood Product Administration, Central line care/management, Peripheral Line Care/Management, Manage Cardiac drips- no titration, Manage Vasoactive drips-no titration, Nasal Cannula, Non-invasive airway management, Isolation Precautions, Wound Care/Wound Vac Certs: BLS, ACLS, NIH PREFERRED SKILLS / CERTS / EXP:
Charge nurse experience and Level 1 Trauma, Titration of cardiac and vasoactive drips

JOB DETAILS :
Ratios:
Ratios are 1:3/4 for floor for surgical/medicine stepdown patients. If stepdown beds are not full would require ability to care for medical surgical floor patients in a 1:6 ratio. Travelers are expected to be handling stepdown patients 40% of the time, and MS patients 60% of the time with a 1:6 ratio.

Shift: 12 HR NIGHTS; 36 or 48 hours accepted. If 48, then no OT billed until after 48 hours. Will accept 13-26 weeks! RTO: 7 days MAX Float Requirement:
Like Units or Med/Surg Floor Patients Weekend Requirement: every other weekend Contract staff will be assigned and expected to work a Storm Team and/or Hurricane Team. Contract staff may be required to report to work during a catastrophic event, mass casualty or disaster. Consolidation to the Centralized Office mid contract may occur and the contract staff may be preassigned to units as needed.

PATIENT DIAGNOSES:
Wide range of patient diagnoses that have had or plan to have surgery or involved in a trauma:
Cellulitis, Appendicitis, Cholecystitis, Diverticulitis, Motor Vehicle Accidents, Gun Shots, Stabbings, Falls, Various Cancers, Kidney Stones, Bowel Obstruction, Peripheral Vascular Disease, Limb Ischemia, Hernia, Gangrene SPECIAL PROCEDURES / UNIT DETAILS:
Wide range of any inpatient surgical procedure, as well as trauma:
Cholecystectomy, Appendectomy, Hernia Repair, TURP, Ostomy Creation or Closure, Wound Debridement, Tumor Removal, Kidney Stone Removal, Amputations, Fem Pop Bypass SPECIAL EQUIPMENT:
Wound Vacs, Chest Tubes, NG tube/Corpak, JP Drains, Hemovac Drains, Penrose Drains UNIT SYSTEMS (Medication, Documentation, Communication):
Pyxis, EPIC, SBAR SCHEDULING TYPE:
Schedule as needed as needed UNIT ORIENTATION: 2 Days of hospital orientation, 24 hours of floor training SCRUBS:
All Navy or Navy on bottom/White Top
*** INTERNAL NOTES **
* * MUST Pass EKG Testing prior to start for this specialty.
* Combination acuity unit:
Adult medical surgical and surgical stepdown.