What are the responsibilities and job description for the Registered Nurse – Telemetry position at AMN Healthcare?
CLINICAL INTERVIEWING
Patient Types:
Higher level of telemetry patients
PCI pre/post care, CHF, MI, DMII, GI, GU, ONC, Sepsis, Stroke, Neutropenia, COVID(higher level of oxygenation), PNA, AMS, TIA, AKI, Dehydrations, ETOH, Syncope, CKD, Afib with RVR, Dialysis, NSTEMI, Leukemia, Pulmonary Edema, Anemia, Shock, Chest pain, Hypoxia
High volume of post-cath lab procedures – TR bands, stent placements (must be familiar with the procedure), fresh cath patients (no sheaths) requiring q15 min checks
Do not take DKA – those patients go to ICU
High Spanish-speaking population (30-50%)
High volume of the underserved population – charity care – looking for compassionate caregivers
Patient Ratios:
Days: 1:4
Nights: 1:5
Required Certifications: BLS and ACLS required, ONS (Preferred)
Oncology experience is not required. Will be given Tele patients if no oncology experience.
Skills required:
Trach care, chest tube, TR band, Post Cath lab, Central line maintenance care, Bipap experience required, Hi-flow experience required, Reading/Interpreting/measuring Cardiac Rhythm strips required. Titratable drip experience required (diltiazem and heparin, nurse protocol based on lab values).
Support on the Unit:
CNA: (Team Nursing)
Days 1:6
Nights 1:8
Receptionist/HUC
Charge nurse/Staff coordinator – Typically does not take patient assignments, will help with
Occasionally will have 1-2 patients if staffing needs
Phlebotomy – days/nights
IV/VAT Team until 2300
Hospitalist – 24/7
Telemetry monitoring tech? Yes, on the unit. 2 central units. 32 patients per central unit. Sign off strips q 4 hours.
Technology/Equipment:
EMR: EPIC
IV pumps: Plum pumps
Medication dispensing: Omnicell
Monitors: Draeger
Floating: If yes, where?
All other MS/tele units
Orientation (#hrs/shifts):
Hospital Orientation
2 - 12hr shifts on the unit depending on their contracted shifts
Scheduling:
Weekend rotation: Every other weekend
Weekend nights are Friday/Sat
On call? No
Holiday Expectations: 1-2 Holidays per contract
Approval of time off? Can we approve up to 7 days off on your behalf? Yes
Shift times: Days 7a-7p; Nights 7p-7a
Schedule cycle: 4-week increments and will receive the schedule 4 weeks in advance
Overtime is optional.
Other notes:
Scrub Color: Any color
Parking: Free onsite parking
Culture – Traveler friendly, very welcoming. Team oriented. Patient-centered care. Very Fast-paced environment with higher level of acuity than a normal telemetry unit.