ID: Shift: 7P-7A 12Night Description: This Contract is interviewed by SimpliFi.Start date is non negotiableShift is non negotiableHours per week are non negotiable26 week contract is highly preferredEMMC Kelley 3/Phillips Oliver 3 (KPO3)Hospital : 489 State St., Bangor, ME 04401Level II Trauma CenterBed: 411General InformationBeds: 21Activities room (Meals and other Activities to promote socialization)Minimum Experience?RN and LPN: 1 yearCNA: 1 year - ask manager approval for any candidate that has previous hospital experience but has not worked in the hospital setting within the last year.First-time traveler? YesPatient 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 Approach RN: 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 Tech: BLSCNA: BLSSkills 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, ADLsDaily 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) 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) ADL chartingMeal intakesPassing traysActivitiesAmbulationGetting patients to/from activities and mealsWeekly showers/shower required skillsSupport on the (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/: 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 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 Program Travel Guaranteed Hours: 36 Contract
