Job Title: RN Med Surg
Duration: 13 Weeks
Location: Sheboygan, WI
Shift: 0645-1915

About Facility

o 3400 Union Ave, Sheboygan, WI 53081

o 101 Licensed beds

o Level IV Trauma Center

o Primary Stroke Center

General Information

o Beds: 23-24, depending on unit

o Minimum Years of Experience: 2 years MedSurg experience

o First-time traveler: Yes

Patient Types:

o This is a Float Pool position. Travelers will be required to float to the below units as well as anywhere in the hospital there are MedSurg patients, including ER Holding/Boarding.

o MS1 General Medical Surgical

Oncology: will not have to give chemo, but will care for oncology patients and patients receiving chemo

Do have some pediatric patients on the floor (> 1 yr. old). No peds experience required, will not take peds patients.

Surgical: gallbladder, appendectomies, colectomies, ostomies, TURPs

General Medical: Cellulitis, GI bleeds, CHF, COPD, etc. Outpatient infusions(abx/fluids)

o MS2 Ortho/Neuro

Observation: chest pain, dizziness, syncope

Ortho: total hips, total knees, shoulders.

Neuro: spine surgeries, strokes, altered mental status, TIA vs. stroke obs,

o MS2 Cardiac

Cardiac post-procedure: cath, TEE, cardioversion. Send for manager approval if no experience with this.

General Cardiac: heart failure, chest pain, cardiac arrythmias

Patient Ratios:

o Days: 1:4-6

o Nights: 1:6

Required Certifications:

o BLS, ACLS, NIHSS

Skills required

o Chest tubes, stable trach management, IV skills, port/central lines, knowledgeable on CPAP/BiPAP/Airvo (RT will manage equipment), foley insertion/care, feeding tubes, cardiac rhythm interpretation

o Titrating Drips: Cardizem, amiodarone, insulin, argatroean. Send for manager approval if no experience with drips.

o EPIC experience

Support on the Unit:

o HUC: Days only

o CNA:

Able to take vitals, do blood glucose, no IV insertions or removals

Days 1:5-6

PM 1:6-7

Nights 1:10

o Charge nurse - takes patient assignment. Sometimes full, sometimes reduced

o Phlebotomy: Yes, peripheral lab draws

o Hard sticks: notify house supervisor, will find a resource (anesthesia or ED tech/RN)

o RT 24/7

o Hospitalist 24/7 - communicates through secure chat on EPIC

o OT, PT, ST – weekdays, limited hours on weekends

o Remote tele monitoring with Tele tech. If short Tele techs, could be asked to monitor patients

Charting System/Equipment:

o EMR: EPIC – experience required

o IV Pumps: Alaris

o Med Dispensing: Pyxis

Floating:

o Anywhere in the hospital that are MedSurg patients is possible to float there

o Will likely float often to ER Holding/Boarding

Orientation:

o One full shift – login access, paperwork, Epic login,

o Remainder of the shift on the unit

o 1 12h shift unit orientation – manager will choose which unit(s) they will orient to and can receive brief orientation to any new unit they float to

Scheduling:

o Weekend rotation: every other weekend

o Shifts times: 1845-0715, 0645-1915

o Schedule is made 4-6 weeks at a time, will receive 2 weeks prior.

Will consider block scheduling if requested, but no guarantees

o Approval of RTO: to go through manager

o On Call: no

o Holiday Expectations: could work 50% of the holidays in a contract

Other notes:

o Scrub Color: Any solid color, professional. No graphics, logos, designs

o Parking: Free parking

o Culture: Traveler friendly, strong teamwork atmosphere

AMC Sheboygan County - MS Float Pool

About Facility

o 3400 Union Ave, Sheboygan, WI 53081

o 101 Licensed beds

o Level IV Trauma Center

o Primary Stroke Center

General Information

o Beds: 23-24, depending on unit

o Minimum Years of Experience: 2 years MedSurg experience

o First-time traveler: Yes

Patient Types:

o This is a Float Pool position. Travelers will be required to float to the below units as well as anywhere in the hospital there are MedSurg patients, including ER Holding/Boarding.

o MS1 General Medical Surgical

Oncology: will not have to give chemo, but will care for oncology patients and patients receiving chemo

Do have some pediatric patients on the floor (> 1 yr. old). No peds experience required, will not take peds patients.

Surgical: gallbladder, appendectomies, colectomies, ostomies, TURPs

General Medical: Cellulitis, GI bleeds, CHF, COPD, etc. Outpatient infusions(abx/fluids)

o MS2 Ortho/Neuro

Observation: chest pain, dizziness, syncope

Ortho: total hips, total knees, shoulders.

Neuro: spine surgeries, strokes, altered mental status, TIA vs. stroke obs,

o MS2 Cardiac

Cardiac post-procedure: cath, TEE, cardioversion. Send for manager approval if no experience with this.

General Cardiac: heart failure, chest pain, cardiac arrythmias

Patient Ratios:

o Days: 1:4-6

o Nights: 1:6

Required Certifications:

o BLS, ACLS, NIHSS

Skills required

o Chest tubes, stable trach management, IV skills, port/central lines, knowledgeable on CPAP/BiPAP/Airvo (RT will manage equipment), foley insertion/care, feeding tubes, cardiac rhythm interpretation

o Titrating Drips: Cardizem, amiodarone, insulin, argatroean. Send for manager approval if no experience with drips.

o EPIC experience

Support on the Unit:

o HUC: Days only

o CNA:

Able to take vitals, do blood glucose, no IV insertions or removals

Days 1:5-6

PM 1:6-7

Nights 1:10

o Charge nurse - takes patient assignment. Sometimes full, sometimes reduced

o Phlebotomy: Yes, peripheral lab draws

o Hard sticks: notify house supervisor, will find a resource (anesthesia or ED tech/RN)

o RT 24/7

o Hospitalist 24/7 - communicates through secure chat on EPIC

o OT, PT, ST – weekdays, limited hours on weekends

o Remote tele monitoring with Tele tech. If short Tele techs, could be asked to monitor patients

Charting System/Equipment:

o EMR: EPIC – experience required

o IV Pumps: Alaris

o Med Dispensing: Pyxis

Floating:

o Anywhere in the hospital that are MedSurg patients is possible to float there

o Will likely float often to ER Holding/Boarding

Orientation:

o One full shift – login access, paperwork, Epic login,

o Remainder of the shift on the unit

o 1 12h shift unit orientation – manager will choose which unit(s) they will orient to and can receive brief orientation to any new unit they float to

Scheduling:

o Weekend rotation: every other weekend

o Shifts times: 1845-0715, 0645-1915

o Schedule is made 4-6 weeks at a time, will receive 2 weeks prior.

Will consider block scheduling if requested, but no guarantees

o Approval of RTO: to go through manager

o On Call: no

o Holiday Expectations: could work 50% of the holidays in a contract

Other notes:

o Scrub Color: Any solid color, professional. No graphics, logos, designs

o Parking: Free parking

o Culture: Traveler friendly, strong teamwork atmosphere

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