Med Surg Tele

Medical/Surgical Telemetry – Step-Down RN | Night Shift | Maryville, TN

This 13-week night shift contract places you in an adult step-down unit managing intermediate-acuity cardiac and medical patients. The unit serves patients with elevated oxygen demands, atrial fibrillation, dialysis needs, and those recovering from cardiac catheterization procedures — with no ventilator or vasopressor support required.

Shift & Schedule

• Nights: 7:00 PM – 7:30 AM, 3x12 or 4x12 per week
• Every other weekend required; schedule may adjust based on unit need
• Block scheduling; one pre-approved time off per contract
• 24-hour orientation (Mondays)

Clinical Scope

• Cardiac drip management: heparin, Cardizem, amiodarone, sotalol initiation
• Continuous telemetry monitoring, both on-unit and remote
• BiPAP/CPAP, high-flow nasal cannula, pre/post hemodialysis and peritoneal dialysis management
• Central line care, chest tube management, wound care/wound vac
• ABG interpretation, dysrhythmia identification and management
• Post-cardiac cath and post-MI care; pacemaker management (temporary/permanent)

Required Certifications & Licensure

• ACLS, BLS, NIHSS
• Active Tennessee RN license

Experience Requirements

• Minimum 1 year of recent Med/Surg Telemetry or step-down experience
• Minimum 1 year of electronic health record experience required
• First-time travelers considered based on clinical experience

Float & Additional Requirements

• Floating to comparable med/surg units possible based on census
• Pre-assignment modules and testing must be completed within 48 hours of contract start; up to 16 module hours are reimbursable
• Flu vaccine required; no exemptions accepted
• COVID-19 vaccine not required