Travel Nurse RN - Telemetry
Bakersfield, CA
United Staffing Solutions
3x12 hrs, Nights
Referral Bonus

Charting System
Cerner
Unit Notes
**Medical Solutions Clinical Team will pre-screen all candidates. **
**CERNER REQUIRED**
**No duos!**
*No first time travelers*
- Unit: 5W Tele Stroke (Very fast paced. High patient turnover. High acuity/high risk patients)
VERY SIMILAR TO A STEPDOWN UNIT!"
- Location: (BMH) Bakersfield Memorial Hospital
- # beds: 30 Beds
- Ratios: 4 to 1
- Certs: BLS, ACLS, & NIHSS are required. Must have experience using NIHSS on the floor.
Chemo cert would be a plus but not required. They occasionally & unexpectedly will get a patient needing chemo)"
- EMR System: Cerner
- Add'l Equipment: Pagers linked to call light system & internal spectra link phones
- Unit Orientation: 2 - 12 hr shifts on home unit. 5W & 4W get an additional day of orientation in the ICU incase they would float to ICU (See info regarding floating - below)
- Nurse Aides: Days 3 nurse aides; Nights 2 nurse aides (Note: this will vary depending on pt census)
- Charge Nurse: Yes (if staffed >28 pts will have an extra nurse as a 'resource nurse' takes 2 patients & helps out)
- Shifts/Hours: 12 hours; 7a - 7:30p/7p - 7:30a
- Breaks: 1/2 hour break (clock-out); 3 - 15 min breaks per shift (CA Law)
- Weekends: Every other weekend or equivalent of 4 weekend days in a 4 week schedule (Example: could be 2 in a row, then off 2 in a row)
Day Shift Weekend is Sat/Sun; Nights is Fri/Sat"
- Scrub Color: Navy blue. If you wear a scrub jacket it also must be navy. If you wear an undershirt underneath your scrub top it must be navy, white, or black.
- Tele: Spacelabs Monitoring - 24/7 monitor techs on this unit. Techs pull strips. Nurses interpret their own strips & set alarm rates with monitor tech. Computer program does measurements.
- Vents: No - have high-flow, bedside CPAP (maintained by RT)
- IV Team: No - ICU & ER can assist w/ hard IV sticks
- RT 24/7: Yes
- Pharmacy 24/7: Yes - also have clinical pharmacists on the unit throughout the day/evening
- Types of patients: Non-STEMI, R/O MI & ACS, neuro intervential radiology patients, carotid stents, carotid endarterectomy post ICU, high-risk stroke/renal patients, S/P cranies from ICU, get all r/o stroke, CVA, TIA. Designated unit for stroke. If can't go to ICU they go to this unit. Annual stroke competency through APEX. IF traveler is on an assignment on the unit during annual competency time they will get to do this. Higher acuity/higher risk patients. Come from ER, ICU, or MedSurg that have a change in acuity requiring high level of care. Occasionally from outreach facilities that need higher level of care. Send & receive pts from cath lab. Titrate heparin. Titrate Amiodarone & Cardizem. Dopamine & Dobutamine set rates. No nitro. Would be helpful if have stepdown experience. They do not have a stepdown unit here.
- Medications: Titrate: Heparin, Amiodarone, & Cardizem. Dopamine & Dobutamine set rates. Lasix. No nitro or insulin. Occasionally pt may come from the cath lab with Integrilin drip until the infusion is done. Occasional patient w/ chemo, however chemo cert staff will administer, unless candidate has chemo cert.
- Floating: Tele staff will float to med/surg, the other tele unit (4W), & could be floated to ICU . If floated to ICU traveler will be given patients with appropriate level of acuity. They will get orientation to the ICU.