*CLINICAL INTERVIEWING*
NOTE FOR THIS POSITION: Traveler would relieve the nurse on shift for breaks on units for PCU/MedSurg/ED Hold and at times may take on shifts as a traditional traveler on the unit.
Level III Trauma Center
Beds: 375 Licensed Beds
General Information
Will float within scope and below
Areas of float need:
MSICU: 40 beds
CVICU: 10 (no specific CVICU experience needed, just added for bed count visibility)
PCU: 40 beds
2R PCU Obs: 18 Beds OBS South when open for overflow can increase to 27 total beds
CCU: 30 beds
Medical: 89 beds
Surgical: 55 beds
Flex Unit: 9 beds (consists of PCU and MS patients)
Inpatient Rehab: 47 beds on two floors
ER holding unit (Patients waiting on a bed)
Any COVID overflow
Minimum experience:
ICU: 2 years of ICU experience
PCU/PCU ER holds: 2 years of PCU experience
MS: 2 years in acute care setting
First time traveler: Yes
Could float for partial shifts
Patient Ratios:
ICU 1:2 based on acuity
PCU and CCU 1:4 depending on acuity or if patient discharging
Medical and Surgical 1:5
If PCU floated to MS- will have a 1:5 ratio
Rehab: 1:8 team model (RN, LPN, Tech)
Patient Types the Travelers are Expected to Care For:
ICU: 14 beds
Respiratory Failure, GI Bleeds, DKA, Sepsis, Complicated Post-operative Patients, CVA’s, Flap surgeries, Post-Arrest, ETOH, IVDA
Higher Level Therapies: Rotoprone, Manual Prone, Hypothermia Protocol, CRRT, TPA, Flap Surgeries (will not take these patients)
No craniotomies, major traumas, or major cardiothoracic
PCU: 40 beds: 2R Obs 18 beds
Respiratory compromise, Sepsis, renal failure, bleeding disorders, general medical/surgical patients, CHF, COPD, Pneumonia, General, ortho cases
Med-Surg: Medical: 89 beds Surgical: 55 beds
MS Oncology:
Oncology: Neutropenic, post-op
Psych
General Medical Surgical: post-op, COPD, CHF, Sepsis, DVT, AKI, Dialysis, COVID
COVID is common on this floor.
MS Ortho:
Total joints, post-surgical patients, general medical overflow
MS Palliative:
General Medical: pneumonia, sepsis, CHF, COPD, AKI, DVT, PE, occasionally surgical, COVID
Rehab: 47 beds on two floors
Neuro: Stroke, Spinal Cord injury, TBI, Multi-Trauma, Post Covid, Post ICU
Vents, Traches are on the unit
Respiratory therapy works to give “just in time” training
Med-Surg level acuity type patients
ED Holding
This will be the primary unit the traveler will be working (per NM 1/21/2025)
Will have mixed diagnosis
ICU patients 1:2; PCU 1:4; MS 1:5
ICU & PCU nurses will have a 1:5 assignment if MS
Will have isolation patients, non-ambulatory patients
Is a fast-paced unit
Traveler will need to be flexible and resourceful
ACLS Transport
This RN will transport patients throughout the entire hospital. This would include all inpatient units, ED, CT, MRI, Nuc Med, PACU, Cath Lab, etc.
Night shift ACLS RN. After 2300 the transports slow way down and at that time we want the ACLS RN to go down to ED Holds Area and be a resource to help assist that unit with breaks, med administration, etc when they are not transporting someone. Typically the day shift ACLS RNs start getting busy right at 0730-0800 and never slow down the rest of the day.
Support on Unit:
Techs
ICU: 1:14
PCU: 1:10
MS: 1:8-10
RT 24/7
Hospitalist 24/7
Intensivist 24/7
Certifications:
ICU: ACLS, BLS, NIHSS
PCU: ACLS, BLS, NIHSS
Med-Surg: BLS, NIHSS
Skills required
ICU: Cardiac rhythm interpretation, Vent management, invasive line management, ostomy, general drains, trachs
PCU: Cardiac rhythm interpretation, Chest tubes, lumbar drains, traches, IV med titration (Amiodarone, dopamine, dobutamine, insulin, heparin)
Med-Surg: IVs, PCAs, Chest Tubes, drains, ostomies, IV ABX
All clinicians must also have good communication and patient teaching/education skills
Charting System:
EPIC
Alaris
Pyxis
Scheduling:
ASK IF INTERESTED IN 48-HR CONTRACT
Must call RMC staffing office at least 30-45 mins to get assignment each shift. (Preferred Option)
Number given during orientation.
Assignment also post outside the door of the House Supervisor’s office.
Must be on time to the correct unit by 0700 or 1900
Cannot clock in before 0653/1853
Weekends will vary depending on the needs of the unit.
Schedule provided 3 weeks at a time, received around 10 days prior to schedule beginning
No holiday requests, self scheduling, on-call
Approve time off up to 5 days, additional days email NM Todd Murray
If requesting time off, must be willing to add to the end of the assignment
Orientation
2 days of hospital orientation: login access, modules, etc
1 day on assigned unit
Entitled to receive 4h of orientation to other units, when the traveler floats there
Traveler Telemetry Competency Required
Required to be completed and passed prior to start. SimpliFi Compliance is responsible for grading this exam.
Other notes
Please ask these questions to the candidate and reply with their answers, verbatim, if possible, to the offer email:
What role as a caregiver do you play in making sure the patient fully understands their care plan?
What tools and measures have you found useful in supporting the patient’s understanding of their care plan?
Customer service and teamwork is huge (Positive Attitude every day at work) Reach out to Leadership team anytime.
Must fill out white boards and update regularly (very important), do and document hourly rounding, and give bedside report
Saline Flushes considered medication. Do not leave at the bedside or in your scrub pocket
Do not leave medications in unlocked cart.
When wasting medications, two-nurse verification is required. (Narcotics, Benzodiazepine, etc.)
Documenting pain before and after giving pain medication (30 minutes for IV, 1 hour for oral
No phones on the unit. Breaks are required
Scrubs – any color, except camo, must look professional