Med Surg Tele

Cardiac Telemetry / Step-Down RN — Travel Contract

Maryville, TN | Days | 13-Week Contract

This step-down unit manages adult patients transitioning from ICU-level care, with a clinical focus on cardiac monitoring, respiratory support, and renal care. No ventilator or vasopressor management is required.

Shift & Schedule

• 3x12 or 4x12 Days, 07:00–19:30
• Block scheduling
• Every other weekend required (subject to change based on unit need)
• Float to similar med-surg units may be required based on census

Patient Population & Clinical Scope

• Patients with high oxygen demands, AFib, post-cardiac catheterization, and dialysis needs
• Cardiac drips managed: heparin, Cardizem, amiodarone, sotalol initiation
• Continuous telemetry monitoring (unit and remote)
• Skills utilized: BiPAP/CPAP management, HFNC, central line care, chest tube management, tracheostomy care, wound care/wound vac, blood product administration, pre/post cath care, hemodialysis and peritoneal dialysis management, ABG interpretation, dysrhythmia identification and management, pacemaker management, PCA, and heparin protocols

Required Certifications & Licensure

• ACLS, BLS, NIHSS
• Active Tennessee RN license

Required Experience

• Minimum 1 year of recent experience in a cardiac telemetry or step-down setting
• Minimum 1 year of electronic medical records experience required
• First-time travelers considered based on experience

Onboarding

• 24-hour orientation (Mondays)
• Pre-assignment modules required within 48 hours of receiving login credentials; up to 16 hours of module time is reimbursable
• Flu vaccine required; no exemptions accepted

Extension Policy

Travelers may work up to three consecutive 13-week contracts before a minimum six-month separation or conversion to permanent staff is required.