Shift: Day 3x12-Hour (06:45 - 19:15)
Description: RTO after booking is not allowed and is not allowed to be worked out onsite. Any call offs or additional RTO on unit, could possibly turn into a cancel and DNR.
**Cannot approve Christmas RTO**

REQUIRED SKILLS / CERTS / EXP:
• Minimum Years of Experience: 2 years with 1 Year of direct MedSurg experience.
• Traveler Experience: Unit WILL NOT Accept 1st Time Travelers (Must have at least 2 successful contracts before applying)
• Locals Accepted / Rate Difference: Yes
• Skills: IV Start and Telemetry, Interpretation of dysrhythmias and Management of dysrhythmias, Med/Surg neuro EXPERIENCE
• Certs: BCLS, NIH, NIHSS, ACLS (preferred, not required)

PREFERRED SKILLS / CERTS / EXP:
• Certs: ACLS

JOB DETAILS:
• RATIOS: 1:6.
• Unit will accept contracts for 13 weeks.
• 36 hrs only.
• SHIFT: 12HR DAYS
**Cannot approve Christmas RTO**
• If RTO includes weekends, time will be added to end of contract to make up for those dates.
• Travelers are required to work every other weekend.
• Float Requirement: Floating Required: floating required to any other MS/Tele areas, may include COVID care units. If the traveler calls in for a scheduled weekend shift, we will need to have them make up the weekend shifts based on the needs of the unit. Frequent floating may be required.

PATIENT DIAGNOSES: We care primarily for Stroke patients, but also care for possible Neurosurgery patients as well as other Neuro diagnoses, such as Epilepsy, Traumatic and non-traumatic subdural hematomas, and many more

SPECIAL PROCEDURES / UNIT DETAILS: We have a 4 BED Epilepsy Monitoring Unit (EMU). The unit trains our nurses for the EMU part and it does not typically affect our travelers unless we have trained them.
• 42 daily census.
• 43 rooms/beds

UNIT SYSTEMS: PYXIS, EPIC, SBAR
SCHEDULING TYPE: Preferred Scheduling
*If a traveler calls out of a shift, they are expected to make up that day the same week or at the end of their contract.
UNIT ORIENTATION: 36 Hours
SCRUBS: Navy
***MUST HAVE MED/SURG EXPERIENCE***

COVID-19 Vaccine: Not Required
Flu Vaccine: Required - Medical/Religious Exemptions Only

Job Requirements & Qualifications
• Years of Experience: 2
• Charting System Experience: Required
• Required Charting System Name: Epic
• Travel Experience Required: Yes
• Certifications: ACLS*, BLS, NIHSS
• Skills:
• Blood Product Administration
• Central line care/management
• CVA (Cerebrovascular Accident)
• Interpretation of dysrhythmias
• Intracranial bleeds*
• Isolation Precautions
• Manage Cardiac drips- no titration
• Manage Vasoactive drips-no titration
• Management of dysrhythmias
• MS/Tele
• Nasal Cannula
• Neuro Stepdown*
• Non-invasive airway management
• PCU/DOU/IMC/Stepdown*
• Peripheral Line Care/Management
• Seizure disorders
• Spinal cord injury*
• Substance Withdrawal*
• Titrate Cardiac drips*
• Titrate Vasoactive drips*
• Traumatic Brain injury*
• Use of Rapid Response/Code teams
• Hard stop-Med Surg Experience

Unit Details
Staffing & Scheduling
• Scheduling Type: self
• Patient Ratios Days: 6
• Patient Ratios Nights: 6
• Patient Ratios Weekends: 6
• Float Required: To med surg mostly Sun- Thur every 3rd wkd
• Weekend Coverage: True
• Number of Weekend Shifts Per Contract: Every other weekend required.
• Orientation Hours: 36

Facility & Patient Care Details
• Patient Age Groups: Adults, Geriatrics
• Daily Census: 50
• Number of Visits Per Day: 6
• Number of Rooms: 55
• Number of Beds: 55

Additional Unit Information
• Interdisciplinary Support: IV Teams, Physical Therapy, Respiratory Services, Interpretation Services, Phlebotomy, Radiology, Social Services, Rapid Response Teams, Pharmacy, Transportation, Unit Secretary
• Patient Diagnoses: Primary neuroscience unit. Care for any neuroscience diagnosis. Strokes are the primary patient population seizures, subdural hematomas, SAH, ICH, brain tumors.
***Manager will not accept less than 1 year of past Med Surg experience due to ratios on unit***
• Special Procedures/Unit Details: We have a 4 BED Epilepsy Monitoring Unit (EMU) that is considered Intermediate level and that nurse has 4:1 patient ratio.
***Hard stop-Manager will not accept less than 1 year of past Med Surg experience- must be MS and not MS/tele in work history (I know it's a Ms/tele but must have specific MS in work history, per manager due to ratios on unit***
• Must have total of 2 yrs hard stop- combo of 1 yr MS and 1 yr MS/tele, tele or PCU
• Special Equipment: Neurosurgical patients, seizures, subdural hematomas, SAH, ICH, brain tumors, etc.
***Med Surg Experience Required***
***We did increase our beds to 60, we added additional 12 med surge beds and a 5 bed transfer center. Please update our beds to state 55 since the transfer center is ran a little different Our census runs around 50***