Unit Notes:
MedSurg
• 52-Beds - all private rooms

Certs:
• BLS is required. NIHSS required
• Some staff have ACLS - this would be a PLUS!

Ratios:
• 1:6-7 (Mostly 1:7 for both Day & Night shift)

EMR: Sunrise

Charge Nurse/House Supervisor:
• The Charge Nurse takes a full patient assignment. He has a Clinical Assistant (CA) 40 hours/week - 1/2 the time is on the floor taking patients & the other 1/2 in the office as the CA

Nurse Aides:
• CNA's: Usually have 4-6 CNA's per shift. Ratios 1:10-12

Weekend Requirement:
• Every-other-weekend (3 weekends out of a 6 week schedule) Days is Sat/Sun; Nights is Fri/Sat

Holidays:
• Work into the holiday rotation schedule

Scrub Color:
• RN's: Navy blue top & bottom, navy scrub jackets, no hoodies
• CNA's: Grey

Tele:
• Remote tele as needed - Monitored on a different unit

Nurse's Read Strips:
• RN's are not required to read strips; however, if they have experience reading strips, they can also read them.

Drips:
• Heparin; very rare Lasix but not continuous; PCAs w/ MSO4; maybe an Ativan gtt; no cardiac gtts or insulin

Vents:
• Bipap (intermittent only), Cpap, High Flow

Hospitalist or Intensivist in house:
• Hospitalist in-house 24/7
• Intensivist in the ICU 24/7
• Also have residence in-house 24/7

IV Team:
• IV team in-house 24/7 & also have a PICC team
• RN's assess their patient's IV sites but do not start their own IV's on this unit
• IV Team starts all IV's

RT 24/7: RT is in-house 24/7

Pharmacy 24/7: Pharmacy is in-house 24/7 - Pyxis

Shifts:
• 12-Hour Shifts: 0645-1915; 1845-0715. Schedules are made out for 6 weeks at a time. Staff is allowed to submit up to 6 requests off per 6-week schedule

Floating:
• Other MedSurg, MedSurg/Oncology units, etc. Could possibly float to IMC but would assigned MedSurg overflow. No gtts.

Floor specific orientation:
• General hospital orientation, then 2 full shifts on the unit

Common diagnosis / Types of patients:
• All ortho post-ops, all basic neuro post-ops (laminectomies, discectomies, spinal fusions), all other general post-ops (gallbladders, mastectomies, sleeve gastrectomy's, infections, other medical dx: COPD, CP, pneumonia, cellulitis, etc. Hemodialysis is on this floor. It is HIGHLY preferred travelers have experience with peritoneal dialysis.

Additional Notes:
• If a patient is being testing for COVID they will usually remain on this unit, unless it is going to take longer for result - then they will transfer the patient to the COVID unit