RN Telemetry 5W (Stroke)

JOBID: 897215

Position: RN Telemetry 5W (Stroke)

Shift Notes
Days, EOW, first to float
36 hours per week

Location: Bakersfield, CA, 93301

Job Type: 13 Weeks

Start date: 06/23/2025

Required Certifications

ACLS, BLS, NIHSS

Years of Experience

3 Years

Pay:$70-$75

Job description:

The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of care in Telemetry Unit. The Registered Nurse is directly responsible and accountable for the care given to his/her assigned patients. He / She communicates with the physician about changes in the patient’s clinical condition including cardiac monitoring, results of diagnostic studies and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment.

Unit: 5W Tele Stroke (Very fast paced. High patient turnover. High acuity/high risk patients)
VERY SIMILAR TO A STEPDOWN UNIT!"

 Certs: BLS, ACLS, & NIHSS are required. Must have experience using NIHSS on the floor.
Chemo cert would be a plus but not required. They occasionally & unexpectedly will get a patient needing chemo)"

 2 - 12 hr shifts on home unit. 5W & 4W get an additional day of orientation in the ICU incase they would float to ICU (See info regarding floating - below)
- Nurse Aides: Days 3 nurse aides; Nights 2 nurse aides (Note: this will vary depending on pt census)
- Charge Nurse: Yes (if staffed >28 pts will have an extra nurse as a 'resource nurse' takes 2 patients & helps out)
- Shifts/Hours: 12 hours; 7a - 7:30p/7p - 7:30a
- Breaks: 1/2 hour break (clock-out); 3 - 15 min breaks per shift (CA Law)
- Weekends: Every other weekend or equivalent of 4 weekend days in a 4 week schedule (Example: could be 2 in a row, then off 2 in a row)
Day Shift Weekend is Sat/Sun; Nights is Fri/Sat"
- EMR System: Cerner

 Tele: Spacelabs Monitoring - 24/7 monitor techs on this unit. Techs pull strips. Nurses interpret their own strips & set alarm rates with monitor tech. Computer program does measurements.
- Vents: No - have high-flow, bedside CPAP (maintained by RT)
- IV Team: No - ICU & ER can assist w/ hard IV sticks
- RT 24/7: Yes
- Pharmacy 24/7: Yes - also have clinical pharmacists on the unit throughout the day/evening

- Types of patients: Non-STEMI, R/O MI & ACS, neuro intervention radiology patients, carotid stents, carotid endarterectomy post ICU, high-risk stroke/renal patients, S/P crannies from ICU, get all r/o stroke, CVA, TIA. Designated unit for stroke. If can't go to ICU they go to this unit. Annual stroke competency through APEX. IF traveler is on an assignment on the unit during annual competency time they will get to do this. Higher acuity/higher risk patients. Come from ER, ICU, or Med Surg that have a change in acuity requiring high level of care. Occasionally from outreach facilities that need higher level of care. Send & receive pts from cath lab. Titrate heparin. Titrate Amiodarone & Cardizem. Dopamine & Dobutamine set rates. No nitro. Would be helpful if have stepdown experience. They do not have a stepdown unit here.
- Medications: Titrate: Heparin, Amiodarone, & Cardizem. Dopamine & Dobutamine set rates. Lasix. No nitro or insulin. Occasionally pt may come from the cath lab with Integrilin drip until the infusion is done. Occasional patient w/ chemo, however chemo cert staff will administer, unless candidate has chemo cert.
- Floating: Tele staff will float to med/surg, the other tele unit (4W), & could be floated to ICU . If floated to ICU traveler will be given patients with appropriate level of acuity. They will get orientation to the ICU.

Qualifications:
1. Current and valid state RN License.
2. Current BLS (AHA or Red Cross)
3. Current ACLS (AHA or Red Cross)
4. Previous Acute Care hospital experience
5. Ventilator Management experience preferred.
6. COVID vaccination preferred