Medical Surgical Telemetry Registered Nurse

We are seeking an experienced Registered Nurse (RN) – Med Surg/Telemetry for an 18-week travel contract on the 4th Floor Med/Surg Unit. This is a fast-paced, clinically diverse unit caring for adult and geriatric patients with cardiac, oncology, and stepdown-level needs.

The RN will provide comprehensive, evidence-based nursing care, monitor patients closely for changes in condition, administer medications and specialized therapies, and collaborate with physicians and the interdisciplinary care team to ensure safe, high-quality patient outcomes.

This position is ideal for an experienced Med Surg/Tele RN who is comfortable caring for higher-acuity patients and confidently interpreting cardiac rhythms.

Key Responsibilities

• Perform comprehensive initial and ongoing patient assessments.
• Develop, implement, prioritize, and evaluate individualized plans of care.
• Monitor patients for changes in clinical condition and respond rapidly to changes in status.
• Administer medications safely according to state regulations and hospital policies.
• Monitor cardiac rhythms and recognize dysrhythmias.
• Manage patients requiring telemetry and stepdown-level care.
• Care for patients receiving cardiac drips, including Cardizem, heparin, amiodarone, and nitroglycerin.
• Manage patients with chest tubes, Foley catheters, and other lines/drains.
• Monitor patients receiving oxygen therapy, including BiPAP, CPAP, nasal cannula, and high-flow oxygen.
• Perform hemodynamic monitoring and other advanced nursing interventions as appropriate.
• Collaborate with physicians, PCTs, monitor technicians, HUCs, and other members of the interdisciplinary team.
• Provide patient and family education and act as a patient advocate.
• Maintain patient safety, privacy, and infection-control standards.
• Demonstrate sound clinical judgment and remain calm and adaptable in emergency situations.
• Provide compassionate, culturally responsive, relationship-based care.

Unit Information

Unit: Med/Surg 4th Floor

Beds: 43

• Oncology
• Stepdown
• Adults ages 18–64
• Geriatric patients 65+

Support Staff: PCTs, HUCs, and Monitor Technicians

Common Therapies/Equipment:

• Heparin
• Nitroglycerin
• Chest tubes
• BiPAP
• CPAP
• High-flow oxygen

Important: RN must be able to confidently read and interpret cardiac rhythm strips. A dysrhythmia examination is required during orientation.

• Night shift
• 12-hour shifts
• 36 hours/week approved
• 48 hours/week may be available with approval

Required Qualifications

• Active RN license in the state of practice or compact RN license
• Minimum 2 years of RN experience in Med Surg/Telemetry
• Current BLS
• ACLS
• NIHSS
• Ability to interpret cardiac rhythm strips
• Experience caring for adult and geriatric patients
• Strong clinical judgment and ability to work in a high-acuity environment

Preferred Qualifications

• BSN
• PCCN
• CCRN
• Previous acute-care hospital experience
• EPIC/EHR experience
• Critical care or stepdown experience

Why This Opportunity?

This is a great opportunity for a skilled Med Surg/Telemetry RN looking for a night-shift travel contract in a high-acuity environment. The unit offers exposure to cardiac, oncology, and stepdown patients while working alongside PCTs, monitor technicians, HUCs, and an interdisciplinary care team.

If you are an experienced Tele RN who can confidently manage cardiac drips, interpret rhythms, and care for complex patients, this contract offers an excellent opportunity to expand your clinical experience.