Job Location : Bronx,NY, USA
Unit Notes Department: ER | RN *Required Certifications: BLS, ACLS, PALS, NIHSS (3 hrs Stroke). Must have 8 hrs of Stroke education. Prefer TNCC.* - Trauma Level: Trauma Level II. Stroke and STEMI Certified. - # Beds: 65 Bays- divided into different zones (A, B, C, D, & E), and staff be rotated through each zone. Designated Code/Trauma area. - Do you have a Fast Track: 10 Chairs. Staffing: 2 Attendings, 1 RN. - Do you have a separate Triage area?: Separate area close to the waiting room, 3-4 Triage RNs. Travelers are required to triage experience and may be asked to work in this area. - Do you have a separate holding area in the ER: Can see ER Hold Patients throughout the ER. ER is staffed with ERG nurses (MS Inpatient RNs) that assist in taking ER hold patients; ER RNs may still be assigned ER Hold patients when necessary. - Do you have separate Psych rooms?: No, Psych Patients transferred to Fulton Campus. - Security in-house 24/7: 24/7 in the ER. - How many patients do you treat in the ER/day: 118,000 per year = approx. 9850 /month. - Nurse: Patient Ratios: 1:4-8 depending on acuity of patients, census, and staffing; high ratios are not uncommon. They do not have set ratios in the ER. - Required Certifications: BLS, ACLS, PALS, NIHSS (3 hrs Stroke). Must have 8 hrs of Stroke education. Prefer TNCC. - Common Diagnoses: Pt Population Adults and Peds; DM, Asthma, Resp Issues, COVID, Chest Pain, STEMI, CVA, Stokes, Psych, Trauma, and more. - Experience: 2 years of ER Experience. Must have triage experience. Prefer: Trauma experience. Will accept first time travelers if they have similar inner-city (metropolitan) ED experience. - Common drips: Must be able to titrate all critical drips. Must be able comfortable providing conscious sedation for bedside procedures and/or pain management. - ED Physician/Mid-Levels: 1-2 Attendings in each zone, 3-4 RNs in each area, & 1 PCT in each zone; RN may be asked to do primary care nursing and RNs to work as a team in their zone. - Charge Nurse: 1 Charge and 1 Manager in the ER 24/7. - Nurse aids: 1 PCTs in each zone.. Job Duties: phlebotomy, 12 Lead EKGs, vital signs, POCT, patient care, assist RNs, and more. - Is RT in the ER 24/7?: In house 24/7; RT NOT designed to the ED, but are available by call 24/7. - RT Equipment: RT will set up Resp. Equip and RN expected to help monitor and maintain it. - Do you have Monitor Techs in the ER: No Monitor Tech or centralized monitoring, RNs to read and interpret their own tele, monitors in the room. - X-Ray or CT in the ER?: Down the hall on the same floor; Transport team available, RNs expected to assist in transporting unstable patients. - Does Phlebotomy draw labs or RN's draw: RN to draw upon IV access and PCTs may do redraws with butterfly. - Shifts & Scheduling: RN Shifts: 7-7:30, 12-12:30. PCT Shifts: 7-3:30, 3-11:30, 11-7:30. Schedule is made out by management and travelers asked to stay flexible and fill gaps in permanent staffing. Will consider block scheduling. Huddle starts at 7 and RNs expected to be ready to go at that time, tardiness is not tolerated. - Weekend Requirements: Typically EOW. May be asked to help cover extra weekends at times. - Holiday Requirements: May be asked to go into the Holiday Rotation. - Is there call or a standby requirement: None - Floating Requirements: None - Scrub Color: Royal Blue - Unit Specific Orientation: 1-2 shifts with a preceptor. Orientation: Tues - Badging, Wed & Th classroom orientation, Fri on the unit with a preceptor (11.5 hrs). Date Entered On: 8/1/2024