Registered Nurse(RN) / Travel / Progressive Care Unit

Position - TRAVEL - RN -Trauma Stepdown (636) MC Denton - 7P-7A

Unit Information: Surgical Trauma-63610

Location: Medical City Denton

Address: 3535 S. Interstate 35E
Floor: 5th floor

Building: Main

General Information

Tell us about the unit(s):

• Number of Beds - 25

• Number of Staff - 44 FTEs (57 headcount)

• Type of staff:

• Day Shift - 1 charge/6 RNs/3 techs/1 secretary

• Night Shift - 1 charge/6 RNs/3 techs

• Patient Ratios - 1:4 (1:5 max for stepdown)

• Type of equipment -

• EMR - Meditech

• On Call Requirement - none

• Floating Requirement - to stepdown service lines (Progressive Care Unit/Heart and Vascular Unit)

Typical hiring profile

Skill Set Most recruited for: (Travel RNs, local CNAs and sitters)

Must have : candidates without these skills will not be considered for the role.

• ACLS, BLS, NIH

• Great customer service skills

Preferred or nice to have : candidates with these skills will be considered first.

• Trauma/Orthopedic experience

• Meditech experience


List typical procedures performed on unit(s):
• Patients requiring acute surgical intervention/consultation or post op care including:
• Trauma Surgery
• Bariatric Surgery
• Vascular Surgery
• Traumatic Brain Injury
• General Surgery
• Urological Surgery
• Orthopedic Surgery
• Neuro / Spine Surgery
• GI Bleed / Endoscopy
• Pulmonary Embolus
• Patients with neurological diagnosis including but not limited to: CVA, TIA, TBI, S/P Neuro-Surgery, Altered Mental Status
• Meningitis
• New onset Seizures •
• Hypertensive Crisis •
• Chest Pain, CHF •
• Sepsis - Hemodynamically Stable •
• Alcohol Withdrawal •
• Pre and Post Cardiac Cath Lab procedural patients (***HVU***) •
• Post-op CV surgery patients when hemodynamically stable (***HVU***)
• Unstable angina, suspected MI (NSTEMI & STEMI). (***HVU***) •
• Chest pain rule out patients (***HVU***) •
• Chest pain with acute EKG changes and or elevated troponin. (***HVU***)
• Patients with acute cardiac dysrhythmias requiring IV/PO medication management • Hypertensive Urgency •
• Mild-Moderate congestive heart failure; with elevated BNP, and/or pulmonary edema on chest x-ray without shock •
• Respiratory distress patients with documented Sp02 88% or below on room air requiring Venti mask, BiPAP or CPAP •
• Post-op Femoropopliteal bypass, peripheral stents, post aortograms •
• Post-op CEA •
• Pulmonary Embolus requiring Heparin Drip •
• Patients meeting PACU discharge criteria •
• Vital Signs: HR 50-150 o BP >90 mmHg and < 180 mmHg Systolic
• Dyspnea with respiratory rate < 30 breaths/min or > 10 breaths/min.
• Oxygen Saturation greater than 90 • Patients receiving the following Intravenous drips:
• Agatroban o Agrastat/Integrelin/ReoPro o Amiodarone o Cardene o Cardizem o Dobutamine (Renal/Heart failure dose) o Dopamine (Renal/Heart failure dose) o Heparin o Lasix o Morphine or Ativan for palliative care o Nitroglycerin o Primacor o Sodium Bicarbonate
Best personality Fit:

• Team player

• Adaptable to changing environment

• Good communication skills

Unit Guidelines/Policies : Please feel free to attach unit policies and guidelines.

• Vitals q 4

• Telemetry monitoring

• Q4 patient assessment

Any additional information that would entice a worker to select your unit for their assignment: Consider items such as new equipment or technology, tenure and experience of staff, schedule options, etc. * Remember it is a very competitive market any information you can provide will help attract talent .

Level 2 trauma center with 90% of inpatients coming from ED.