Scope of Service

The Med/Surg/Tele Float Pool is a unit that supplies replacement staff to the inpatient units. The primary purpose of the Float pool is to cover unexpected absences from the units. Due to the nature of the Float Pool, staff will be caring for adult patients across the acute care spectrum. On occasion, Float Pool staff are expected to assist with caring for patients holding in ER, ICU or PACU awaiting admission to Med/Surg or Telemetry beds.

The Med/Surg RN but is not limited to: Cardio-vascular patients, respiratory diseases, orthopedic, oncology, gastrointestinal, urological, wound and skin disorders with medical and surgical interventions.Specialty areas that we serve include trauma, stroke, transplant and post-partum mothers.

The Telemetry RN patients are predominately patients with chronic heart disease. Primary diagnoses are: CHF, syncope, Afib/ Aflutter, bradycardia.

Staffing ratios vary according to work area.

Responsibilities

I. JOB SUMMARY/RESPONSIBILITIES
Responsible for coordinating clinical care of patient. Integrates all health care providers to ensure high quality patient/family outcomes, and establishes a consistent and accountable relationship with patient/family. Key responsibilities include, but are not limited to, initiation and development of the plan of care, patient/family education, utilization management and discharge planning.

II. TYPICAL PHYSICAL DEMANDS
Essential functions- Continuous: lifting up to 1/2 lb., seeing, hearing, talking, grasping, fingering. Frequent to continuous: standing, walking, stooping, forward reaching, handling. Frequent: pushing and pulling up to 30 psi, lifting up to 10 lbs., sitting, bending. Occasional to frequent: squatting, twisting. Occasional: pushing and pulling up to 70 psi; lifting: horizontal lift/carry up to 75 lbs. with assistance, floor to waist up to 35 lbs., waist to shoulder up to 25 lbs., overhead level up to 15 lbs.; carrying up to 35 lbs, running, climbing, side bending, kneeling, crouching, overhead reaching. Operates various machines/tools/work aids.

III. TYPICAL WORKING CONDITIONS
Inside work. Exposure to body fluids, blood products, and communicable diseases. Work environment may be highly stressful, fast paced and hectic. Assignment to inpatient adult psych areas and Family Treatment Center includes occasionally accompanying patients outdoors. Management of confused/disoriented and combative patients may involve tasks which may compromise physical safety.

IV. MINIMUM QUALIFICATIONS
A. Education/Certification and Licensure:
1.Licensure: Registered Nurse, State of Hawaii
2.Diploma or Associate Degree in Nursing; Baccalaureate Degree in Nursing preferred.
3.Current BLS/HCP card in all areas; ACLS, NALS and/or PALS in designated areas.
4.Ability to read, write, speak and understand English effectively.

Additional Requirements

Additional Requirements for Experienced RN:

A. EDUCATION/CERTIFICATION AND LICENSURE:

• Current ACLS certification.

B. EXPERIENCE:

• Twelve (12) months of Telemetry RN experience required, preferably within the last three (3) years.