SImpliFi Interview Team
About Facility:
Address: 489 State St., Bangor, ME 04401
Level II Trauma Center
Bed: 411
General Information:
Beds: varies, based on unit
Experience?
Tele RN: 1 year
ICU RN: 2 years
CNA: 1 year
First-time traveler?
Tele RN: Upon review
ICU RN: Yes
CNA: Yes
Patient Types:
Tele RN:
Please ask all travelers about charge experience and include in the offer info if they have/have not worked in a CRN capacity
ED Holding/MedSurg:
Depending on demand during the assignment, you could be pre-assigned to this area for many of your shifts
Traveler will float to other areas as often as is needed
Resource Role (Dependent on specialty):
Unassigned but would float through all areas and work within your scope to assist as a task person – transport, starting IV’s, med pass, etc.
Merritt 3 (All Surgical patients): 44 beds on Merritt
COVID
Surgical: Bariatric (Gastric Bypass), Vascular Surgeries, Urology (TURP, cystos), GI (hemicolectomies, exploratory laps, bowel resection), colorectal surgeries, Ortho (total joint, ORIF, external fixation)
Ratios: Day: 1:5 with CNA/Tech 1:4 with no tech
Night 1:6 with CNA/Tech 1:5 without
Grant 5/Grant 6 (Oncology/Medical): 2 units - 40 beds each
All medical type patients. Stroke patients, Rarely post op patients. No pediatric patients, no obstetric patients
Neutropenic patients, oncology patients (travelers do not need specific experience with this patient population)
Insulin and Heparin drips
Ratios: Day- 1:5; Night- 1:6
Grant 4/ P6 (Cardiac): 48 beds on G4 and 32 on P6 – Telemetry Level of Care
CHF, MI, arrhythmias, cardiac interventional patients, pre/post heart caths (radial and femoral approach), stents, ablations, pacemakers, Med Surg overflow, post-op CABG, TAVR, other cardiac interventions; Common drips: Cardizem, Amiodarone, Insulin, heparin, etc.
CABG, TAVR (Perm staff will take these patients)
Cardiothoracic patients
RN: 1:5 (days & nights)
ICU RN:
TRAVELER WILL RARELY WORK WITH ICU LEVEL PATIENTS – must be comfortable to float through all care levels to include ED Observation and ED Holds (MedSurg – ICU level of acuity)
Multispecialty Critical Care patients – Medical/Surgical/Cardiac/Neuro/Ortho/Trauma/Interventional
Common diagnoses included but are not limited to: Stroke, ICP monitoring, EVD Drains, spinal precautions, DKA, Sepsis, Multisystem trauma, COVID, STEMI, NSTEMI, Heart failure
Patient Ratios:
Varies based on inpatient units:
RN:
ICU - 1:2, based on acuity (may get 3rd patient as one is being downgraded)
PCU – 1:3-4, based on acuity
Tele – 1:5
MedSurg – 1:6
ED Hold/Obs – up to 1:5-6, based on acuity
CNA: 1:10 (Days); 1:10 (Nights)
Required Certifications:
Tele RN: BLS, ACLS
ICU RN: BLS, ACLS, PALS, NIHSS
CNA: BLS
Skills required:
NO more than 6 days RTO (NO HOLIDAYS) is accepted at this time
Tele RN: Chest Tubes, temp pacemakers (preferred not required), Cardiac drips (Cardizem, amiodarone) – protocols for rate changes, Heparin gtts, Insulin gtts; Reading/Interpreting Rhythm strips; PIV starts, trach care, dressing changes, wound vacs, PCA’s, total joint care, Stroke experience
ICU RN: Neuro and Trauma experience is an absolute must – please decline travelers without this; Ventilator management, critical care drips/titration, cardiac rhythm interpretation, measuring cardiac strips, drains, chest tubes, hemodynamic lines: art lines/CVP, Stroke experience
CNA: ADL’s, Vital signs, Sitting 1:1, assist in turning over rooms, emptying tubes/drains, room cleanliness, floating to over units if needed
Support on the Unit:
CNA (Ratio1:10 days 1:10 nights)
Charge nurse
Phlebotomy, shared responsibility with RN
Resource Nurse 0700-1900, depending on unit
House Supervisor, 24/7
RT, 24/7
Hospitalist, 24/7
Cardiovascular Surgeon and team for CV surgical patients, 24/7
Intensivist, available for consult 24/7
OT, PT, ST – 0800-1600
Charting System/Equipment:
Cerner
BD Alaris IV Pumps
Pyxis (medication dispensing)
Floating:
This is a float pool position that floats between all levels of care, appropriate to care type – this does include floating into the ED to take ED holds (patients with admission orders) AND/OR ED Observation patients (holding orders but not fully admitted); will include patients within your scope of practice and below; as well as PACU Holds (patients with inpatient orders awaiting a bed)
It is rare that ICU nurses will float to ICU
Orientation:
General hospital orientation followed by a tour by the education department to each floor. They get one shift of orientation and then they are on their own.
Scheduling:
Weekend rotation: every other (Dayshift: Sat/Sun; Nightshift: Fri/Sat)
Can we approve time off? up to 6 days, must extend to accommodate a full 13 weeks
No call
Holiday Expectations: no RTO accepted for Holidays
Other notes:
Scrub Color:
RN: Any color, must be professional
CNA: Any color, must be professional
No crocs with holes
Free Parking
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!
Will not consider travelers who have a permanent address in ME.
Current ME or Compact RN license (#/expiration)
BLS, ACLS
ICU Reference and SCL within a year
SSN & DOB
RTO: 6 or less days of rto with no holidays can be approved.
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.