***50 mile radius rule – you can submit locals (see rate difference below) > ER RN John Muir Walnut Creek > 7/23 start date > 13weeks > 12 hour nights 1p-130a/3p-330a/5p-530a/7p-730a **will work ALL of these shifts as needed by hospital 36hrs per week (not self scheduling; will be scheduled by manager, weekends typically every other, no call requirements) > MUST HAVE CURRENT CA LIC AT TIME OF SUBMISSION > TRAVEL EXPERIENCE REQUIRED > Years of Experience Required: 2 years in ER > Preferred Years of Experience: 3+ years in ER > Certs Required: BLS, ACLS, PALS, NIHSS > Certs preferred: CEN, TNCC > Will work Walnut Creek. If Concord gets busy the traveler may be asked to float occasionally to Concord. The two campuses are 8 miles apart. > Unit : ER RN, John Muir Walnut Creek – 554 beds; ED – 44 beds > Non teaching community. Level II trauma ER. > Ratios on the unit : 1:4 depends on patient acuity and census, ratios are mandated by state of CA > COVID Info: Exemptions allowed > Flu Info: declination allowed > Float requirements : will float as needed depending on patient care but only within scope of skill > Schedule/Weekend requirements : typically every other weekend rotation > EMR – note if required/ preferred : EPIC, preferred > Scrub Info : any color scrubs, will get detailed info with first day info > Testing during orientation (pass/fail): n/a > Will they take past perm staff as travel : yes if eligible > Payroll process : Kronos > Medication System: Pyxis > IVS process: IVS Review – Manager Offers > Teaching Hospital : No > Will they take past perm staff as travel : yes if eligible > Respiratory and Anesthesia available 24/7 (RT manage vents) >> Patient Population (Diagnoses): Annual visits are approximately 62000+ with an average daily census of 190-200 patients. Our ED represents a culturally diverse population with a range of high acuity physical and mental health conditions. Hospital is located in very affluent area with patients who have very high expectations. Our hospital is designated Magnet facility. We are Trauma Level ll, Comprehensive Stroke and STEMI. We have evidence based best practice models in place to expedite the care for these patients as well as septic patients. Prefer experience with CVP, SVO2 and arterial lines. Age Range: Adults and Peds. Significant elderly population Patient Care Modality: Primary and Team Nursing, however must be able to manage high acuity patients independently. Primary nursing but with a team approach, very little down time. We have an all RN staff responsible to care for the patient who is assisted by ED techs, who are non-licensed assistive personnel. They are very well informed about what they can and can’t do. If there are any questions that come about, please ask them before you delegate to them. RNs start their own IVs and commonly draws labs at the same time. A Phlebotomist is available when needed especially for drawing cultures. RNs do NOT draw ABGs. EKGs- can be done by ED techs and/or RN. Do not delay an EKG because you have delegated this task to the ED tech. Once the EKG is done, please place it in the hands of a physician. Special Equipment:Art-lines in trauma, Hospira infusion pumps, pediatric syringe pumps Travelers are not assigned to triage in the waiting area unless they have been on assignment with us an extended amount of time and have gone through triage orientation. Travelers do triage ambulance patients at the bedside. Our Front-end process/PIT is covered by a PA or NP and M. Patient experience and nursing excellence is a MAJOR focus. ED average daily volume is 190-200 patients, discharged patient turnover is very fast, can hold inpatient admissions at times > # of Days of Orientation: 2 ED Sifts (24 hours total), 1 shift with Educator (4-6 hours) Advanced Practice on the unit : Physician Assistants ER Techs on the unit (days 2-3 ER Techs, Eves 4-5 ER Techs, Nights 2 ER Techs) >>> Required Upon Submission: MUST have current CA lic at time of submission, Must have 2 yrs exp in relevant specialty, No work hx with gaps over 30 days w/o explanation, Must have Facility Type, EMR, and Bed Count filled out, 1 Reference- dated no more than 12 months old, Skills Checklist – dated no more than 12 months old< All RTO must be in packet at time of submission. > Preferred: EPIC EMR experience, CEN, TNCC
Position Description
ED Facility Name: John Muir Medical Center Walnut Creek Total # of Facility Beds: Click or tap here to enter text. Unit Name: ED Unit Specialty: Click or tap here to enter text. Total # of Unit Beds/Suites/Deliveries: 44 Teaching Facility: ? Y ? N Teaching Hospital Experience Required: ? Y ? N Trauma Level: 2 Prior Travel Experience Required: ? Y ? N would prefer at least 1-2 previous travel assignments, unless candidate has significant ED experience and can easily transition with little orientation Minimum # Years Clinical Experience Required: 2 Minimum # Years Clinical Experience in Specialty Required: 2 Certifications Required: ACLS, PALS, BLS, NIHSS Certifications Preferred: TNCC Nurse Patient Ratio by shift:1:4 Circulate/Scrub as applicable: Click or tap here to enter text. Ancillary Assistance: CNA/ PCT: ? Y ? N #staff per shift: Click or tap here to enter text. Unit clerk/Secretary: ? Y ? N #staff per shift: Click or tap here to enter text. Other: ER techs #staff per shift: Days: 2-3 ER Techs, Evenings: 4-5 ER Techs, Nights: 2 ER Techs Advanced Practice on the unit: Physician Assistants # Days of Orientation: 2 ED shifts (24 hours total), 1 shift with Educator (4-6 hours) Specialty Testing for Unit/Facility: ? U ? F Patient Care Modality: Click or tap here to enter text. Dress Code: Scrubs/color: Any color. No denim. Professional appearance. Shoes: Non-skid, closed toe, athletic shoes are ok, must wear heel strap with clogs Jewelry: Professional, Minimal, No facial piercing other than ears Hair/Beard: Professional, hair shoulder length and longer must be pulled back, facial hair must be neat and trimmed Nail Polish: No gels, acrylics, or extensions. All polish must in good condition without chips or cracksNail Polish: no gel/acrylic Documentation System: Epic Medication System: Pyxis Floating Required: ? Y ? N To what units/facilities: Click or tap here to enter text. Describe the rotation: Click or tap here to enter text. Charge required: ? Y ? N Scheduling: Click or tap here to enter text. Shift Hours: 12 Rotation Schedule: varied start times Self-Scheduling No Weekend Requirements: every other Call Requirements: No Holiday Requirements: 1 major Patient Population (Diagnoses): STEMI, STROKE, syncope, weakness, trauma, falls Age Range: high elderly population Special Equipment: (For example: IV Pumps: Type; Invasive Monitoring; Monitors: Type; ECMO; Ventilators: Type; ABG: Type) Art-lines in trauma, Hospira infusion pumps, pediatric syringe pumps Respiratory available 24/7 for support ? Y ? N Anesthesia available 24/7 for support ? Y ? N Who manages ventilators: RT Unit Specific Procedures and Protocols: (For example: Drips; Infusions; Phlebotomy; Starting IVs; EKGs; Transports; Weaning; Nebulizer to Inhaler; Starting IVs, performing venipuncture, Performing EKGs; Discontinuing sheaths) We have transporters outside of the techs 24 hours, RT does all vents, breathing treatments and ABG’s, We have Phlebotomy 24×7 but RN’s do draw blood when putting in IV lines as needed, we have lines team for advanced lines, we have case managers and social workers from 07-23 most days Additional Unit Specific Information: Good teamwork and attitude required Date Updated: 2-6-23 Updated By Full Name: Sarah Roland, MSN, BSN, RN Title: IVS Manager