This contract is interviewed by SimpliFi.Hospital Information:Address: 489 State St., Bangor, ME 04401Level II Trauma CenterBed: 411 General InformationBeds: 21Activities room (Meals and other Activities to promote socialization)Minimum Experience?RN and LPN: 1 yearCNA: 1 year in an acute care setting required (most recent)First-time traveler? YesPatient Types:Discharge Ready UnitA variety of patients are cared for here who are awaiting placement in the communityHeavy behavioral/psych on top of LTC/SNF. Security is present on the unit due to aggressive patientsTypically, non-acute – without the need for special monitoring or IV accessOccasionally, patients are admitted for IV antibiotics only, but they do not receive frequent dosesMobility of patients range from independent transfer to Hoyer/2 assistPatients are cared for under a nursing home model with focus on fall prevention, skin integrity and activitiesSupported by activities coordinator, CNAs and expert care management staffNursing care is less than acute level of care i.e. vital signs are once a day; full assessment is weeklyPatient Ratios: Team Nursing ApproachRN: Days and Nights - up to 1:9; 4 RN’s 1 CRN (unassigned)CNA: Days and Nights - up to 1:8; goal 1:6-7LPN: Days and Nights – up to 1:9 – future implementation – no LPN’s currentlyRequired Certifications:RN/LPN & Tech: BLSCNA: BLSSkills required:Experience caring for Geriatrics (ideal candidate would have SNF or LTAC experience)RN: Charge experience, dressing changes, IV antibiotic administration (most patients will not have IV access), enteral feedingsLPN: Plan of cares, medication administration (oral, IV fluids/IV antibiotics; no IV pushes or initiation of high-risk meds/blood products – can monitor high risk meds after RN initiation), inserting peripheral IV (with met competency), dressing changes, central line flushes, wound care, vital signs, ADLs Daily Responsibilities:RN:0600 or 1800 med pass for most meds, there may be meds due at other timesDressing changesStraight caths (some patients straight cath themselves)Charting:Med scanningDaily nursing notes to include the following (1 per shift per patient – 10 total):Activities they participated in during that shiftBehavioral NotesOverall impressionsVS as ordered (most often weekly or PRN if they have BP issues)CNA:Daily ADL chartingMeal intakesPassing traysActivitiesAmbulationGetting patients to/from activities and mealsWeekly showers/shower scheduleLPN:See required skills Support on the Unit:CNA (1:6-7 ratio)Charge nurse – typically unassignedActivities support personSocial Worker (two dedicated to unit)Case ManagerPhlebotomy? For peripheral blood draws onlyHouse Supervisor, 24/7RT, 24/7 in houseHospitalist, 24/7PT/OT/ST – dayshift onlyCharting System/Equipment:CernerAlarisPyxisFloating:LPN: unlikely, but to other like units, such as rehab, if neededRN: to any other area within their scope of practiceCNA: only if overstaffed a shift – could float to any area within their scopeOrientation:2 Days Hospital orientation1 shift on the unitScheduling:Weekend rotation: Every otherWill they be on call? If so, what is that schedule? No callHoliday Expectations: varies, as neededApproval of time off? To go through managerOther notes?Scrub Color:RN: Any color, must be professionalCNA: Any color, must be professionalNo acrylic nails allowedNo crocs shoes allowedParking: Free in designated areas