American Mobile
BANGOR, ME
Apr 19, 2024
Travel Contract
This contract is interviewed by SimpliFi.
6/4 Start Date is non negotiable
48 Hours is non negotiable
Nights is non negotiable
This is for Phase 3
EMMC PACU – Phase 3/Extended Observation Recovery
Hospital Information
Address: 489 State St., Bangor, ME 04401
Level II Trauma Center
Bed: 411
General Information:
Minimum Experience:
RN: 1 year of exp in PACU setting (prefer more) – need to be strong in recovery as they will work independently
CNA: 1 year in MedSurg or PACU setting – must have 1 year of acute care experience (most recent)
First time traveler:
RN: Will not accept a first time traveler
CNA: Yes
Elective cases are done during weekdays Monday-Friday. Weekends Sat/Sun -Non elective cases/emergent
Additional Info for Phase 3 Recovery – Extended Observation care:
Elective surgeries that will be monitored overnight and discharged next day – typically 23 hr. observation
This unit resides inside of pre op and has its own rooms. 1-5 and 6-10. – All private rooms for the overnight stay
Nurse staffing ratio 1:3-5 patients per ASPAN Extended Care guidelines, with one CNA for up to 10 patients
Hours: Mon morning – later start – patients typically arrive between 10am-1pm - and open to Saturday until 12 noon-1pm. Closed Sundays.
Phase 3 Recovery: 10 recovery rooms – no more than 10 cases per day. Patients will be recovered through phase2 in main PACU, and PACU RN will give report to accepting phase 3 nurse.
In Main PACU (will work if census is low) –
37 recovery rooms
12 for outpatients, 11 for inpatients; 6 used for overflow, staging, and inpt holds
Approx. 50 cases a day
24/7 operating hours. Open weekends and holidays.
Patient types:
Phase 3:
To include, but not limited to: Total Joints (d/c next day), Gastric sleeve and gastric bypass, Lap chole, Spinal fusion, Mastectomy, OB/GYN cases (i.e. Hysterectomy), ENT (adult tonsillectomy)
Adolescents but no Peds
Independent/Minimal Assist patients
No contact precautions – shared restrooms for 5 patients
No COVID
No Heparin or Insulin gtts
No continuous O2 or Tele monitoring – they would not come to this unit if needing that level of monitoring
Main PACU (will work if census is low)
Inpatient and outpatient procedures
Simple to complex surgeries needing MAC anesthesia to General, and spinals.
Occasionally will be ICU and ventilated/ intubated – not a required skillset for Phase 3 RNs
Level 2 Trauma patients
Orthopedics: Total hip/knee and shoulder arthroplasties
OB/GYN: urinary slings, hysterectomies, BSOs, post C-section Maternity
General/GI: breast biopsies, bowel resections, lobectomies, colostomies, hernias, carpal tunnel repair
Bariatric: Gastric bypass, gastric sleeves
GU: cystos, laser lithotripsies, whipples, nephrectomies
Neuro: Spinal surgeries, Craniotomies, Shunts
Endo: EGDs, IPR (interventional radiology/cardiology)
Pediatric cases: dental hygiene, eye surgery, pain pumps, ports, hemorrhoidectomies
Mandatory skills:
RN:
Strong knowledge of post op total joint care and getting patient up and ambulating
Experience with Bariatric patients (strongly preferred)
Pre-op experience – may start shift in pre-op and move to PACU once all patients are prepped for surgery; could strictly work pre-op some shifts dependent on census
Charting with Cerner or EPIC
Insulin gtts, electrolyte replacement and Heparin protocols (will need if working Main PACU)
CNA:
Blood sugars, assist with ADL’s, charting with Cerner, post op total joint care with ambulating and helping patients out of bed, bariatric patients, working as a team, strong time management skills
RN: BLS, ACLS, PALS
CNA: BLS, ME state licensure
RN:
Phase 3 - 1: up to 5 patients, please ensure traveler understands this and note in offer email
Required certifications:
Patient ratio:
In Main PACU (will work if census is low) –
Phase 1 & 2 - 1:2, per ASPN guidelines
Pre-Op – 1:2 typically, could rarely be 1:3, per ASPN guidelines
CNA:
Phase 3 - 1 CNA up to 10 patients
Main PACU (will work if census is low) - Assigned by Inpatient area and Outpatient area need
Schedule:
12-hr shifts
Weekend rotation: Weekends at EMMC are Sat/Sun only. Phase 3 will require Saturday mornings-early afternoon to d/c any phase 3 patients from previous day. If Phase 3 cases are all discharged on Saturday morning, traveler would float the remainder of the shift to Main PACU
Block Scheduling cannot be guaranteed
Call Schedule: None
Holidays: Manager Approval
RTO approval: To go through manager
2 days of hospital orientation
2 days Departmental – (1) full day in Recovery; (1) Morning in PreOp + Afternoon in Phase 3 Recovery
When working in Main PACU will discharge outpatients from PACU. This area is all one unit from Pre-op, Phase 1 and Phase 2 through discharge; Phase 3 for extended observation patients
Daily staffing: up to 2 RNs in Phase 3; 11 in PACU without including Charge RN; 9 in Pre-op without including Charge RN. Usually, we have 2-3 nurses working overnights in Main PACU/Recovery + Phase 3 – dependent on census
Phase 3 RN’s will float to Main PreOp/PACU and assist if census is low
Scrubs: provided
Orientation:
Other Notes: At AMN Healthcare we take care of our travelers! We offer:
Competitive pay rates
Free, quality, private housing
Medical, Dental, Vision
401(k) and Flex Spending
Life Insurance
Accident and Short-term Disability Coverage
Free Continuing Education
Refer a friend and earn extra cash!
Current ME or Compact RN license (#/expiration)
BLS, ACLS, PALS
Previous Travel Experience and PACU Ref & SCL within a year
SSN & DOB
Must live outside the state of ME (will not consider if the permanent address is in ME).
No more that six days of RTO---Pls list dates in selling notes. At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable.