Compass Government Solutions LLC is looking for a Medical Surg/Telemetry to provide services for the Walter Reed National Military Medical Center (WRNMMC) Bethesda. In preparation to bid on this contract, we are seeking qualified candidates willing to be included in our proposal as interested and skilled individuals.Location:
4494 Palmer Rd N
Bethesda, MD
Hours: 12 HR Shifts
6:45 AM-7:15 PM
6:45 PM-7:15 AMJob requirements Maintain qualifications and skills of a Medical Surgical Telemetry RN as confirmed by completion of the Skills Checklist and verified by the contracting clinical manager. Successfully complete the unit specific orientation and competency skills checklist within the first 3 shifts. Maintain competency verification programs in accordance with unit, WRNMMC, TJC guidelines.Knowledge of telemetry system/ECG monitoring and possess ability to place ECG electrodes, observe, gather, initiate, compile, and record telemetry data to interpret EKG rhythm. Communicate cardiac rhythm changes and information on monitored patients with physician and interdisciplinary team.Obtain analyze and post rhythm strips on admission in patient records per unit protocol or as ordered by physician. Successfully interpret rhythm strips to include rate (atrial and ventricular), rhythm, PR interval, QRS interval, QT interval, ectopic beats, and ST segment changes and report abnormalities to provider.Identify life threatening dysrhythmias and take immediate action by alerting responsible provider, if necessary, call the emergency cardiac response team.Monitor continuous pulse oximetry, assess and record findings as ordered and notify provider of baseline changes. Record more frequently in accordance with RRT, Code Blue or acute changes in patient status.Notify provider when changes in the monitoring parameters are required for a particular patient, and successfully change electrodes placement and batteries when required.Demonstrate knowledge of basic anatomy and physiology of the heart and conduction system, to include location and function of organs and structures.Ensure compliance and understanding of unit and hospital SOP (Standard Operating Procedures) related to Telemetry protocols.Able to make “STAT” judgement and decision calls in regard to patients experiencing life- threatening of potentially life-threatening dysrhythmias and immediately notify provider.Analyze temporary pacemaker function for failure to sense, failure to pace, and failure to capture and immediately report these life-threatening incidents to provider.Demonstrate ability to care for surgical cardiac patients post catheterization, Coronary Artery Bypass Grafting (CABG), thoracotomy, and other procedures requiring chest tubes and other drainage management.Successfully administer intravenous cardiac/antiarrhythmic drugs and other approved telemetry medication therapy IAW policy and procedure.Participate in unit skills fairs, education and training to ensure compliance with unit, hospital, TJC protocols.Ensure compliance with standard of care and practice in accordance with all established policies, procedures, and guidelines used in the medical treatment MTF and IAW JC guidelines. Provides care within ethical and legal boundaries.Will report to the Nurse Manager. Will take direction from charge nurse and house supervisor as required in maintaining a safe environment for the staff and patient(s).When assigned, will serve, and participate in collaterals and other meetings while on shift. Provide relevant and timely information and assists with decision-making and process improvement initiatives.As required, participate in customer service initiatives and medical readiness activities, designed to enhance health services.Participate as preceptor in the orientation, training, and evaluation of duty performance of newly assigned personnel.Promote patient and staff safety through adherence to accepted safety and infection control standards.Perform other duties as assigned to include floating to other work units as needed.Once provided with "hands-on" experience, demonstrate working knowledge, and use of computerized patient care systems including, MHS Genesis.Obtain, maintain access to DHMRSi program and complete bi-weekly DHMRSi workload documentation
