Travel Nurse RN - Med Surg / Telemetry
Glendale, Arizona
Saint Joseph's Westgate Medical Center

Active BLS, ACLS

Arizona license

Positive attitude with very strong teamwork

No pass culture

Must be proficient with vasoactive drips

Must be independent

Must have strong general Medical & Surgical ICU experience

Weekend Requirement: 4 weekend shifts for 4 week schedule

Holidays: 2 out of 3 major holidays

# beds: 5 Beds

Ratios: 1 to 2 if ICU patients; 1 to 3 if MedSurg patients

EMR: Cerner

Charge Nurse: Yes

Nurse Aides: 1 tech per shift (shared with MedSurg unit)

Scrub Color: Navy

Tele: Phillips - RNs are required to interpret EKGs

Vents: Yes

Hospitalist or Intensivist in house: Hospitalist during the day

IV Team: SWAT RN for rapid response, PICC lines

RT 24/7: Yes

Pharmacy 24/7: Pharmacy open 6a-5pm

Floating: Float to MedSurg or possibly to MICU @ SJHMC

Floor specific orientation: 2 shifts

Common diagnosis / Types of patients: Vasoactive drips, vent weaning per protocol, some CHF (unstable), Sepsis, Neuro - Seizure (non-complex/non-status), Cardiac - NSTEMI (case by case), Atrial Fib, Hemodynamic monitoring (Swan possibly to transfer), Pulmonary - pneumonia (criteria for ARDS for transfer to SJHMC), pleural effusions, simple pneumothorax, PE (TPA case by case), Endocrine - DKA, acute tubular necrosis, pyelonephritis (can have HD on MOSU), acute kidney infection, OD (case by case)

Types of procedures performed by Critical Care: Bronchs, CL insertion (including Cordis), intubations, thoracentesis, paracentesis, pericardiocentesis, femoral art line insertions (radial by RT), CT - pigtail & large bore, LP, Hemodialysis Cath (temporary/venous only)

Diagnosis/Types of patients that will be transferred to SJHMC: If a patient becomes too critical they would be transferred to SJHMC: Neuro - CVA, Seizure (status/uncontrolled), meningitis, GBS, Cardiac - STEMI, possible NSTEMI, endocarditis, pericarditis, cardiogenic shock, Cardiac arrest - All cases, Pulmonary - difficult airway, ARDS (criteria based), PE, GI - all cases, OD (case by case), Renal - CRRT, Hemodynamics - if pt on 2 pressors, going on 3rd (case by case)

Basic Dysrhythmia Exam Required PRIOR to sending the contract

PASS FAIL DAY 1 SIMs Lab for Foley catheter insertion & central line dressing changes

Must be able and willing to work the M/S Tele patients as well