Med Surg Tele

Medical-Surgical / Telemetry RN — Sacramento, CA

13-Week Contract | 12-Hour Days | Every Other Weekend | First to Float

This acute care Medical-Surgical/Telemetry unit manages a high-acuity, diverse patient population including GI, GU, CHF, ia, sepsis, chest tubes, COVID, bariatrics, orthopedic pre- and post-op, short-stay elective post-ops, psychiatric patients, alcohol withdrawal, and OB overflow couplets. The unit serves a significant county care population, including patients experiencing homelessness, substance use, and incarceration. Multilingual care is routine; translator services are readily available.

Shift & Schedule

• 7:00 AM – 7:30 PM
• Every other weekend (Saturday/Sunday)
• Self-scheduling, finalized by management
• Float responsibilities include ER holds and other med-surg/observation units; mid-shift float to another facility is rare but possible

Clinical Expectations

• Titrate drips including Heparin, Diltiazem, and Amiodarone per orders
• Independently read, interpret, and chart telemetry strips every four hours (no monitor techs on unit)
• BiPAP and high-flow oxygen in use; respiratory therapy provides support
• Proficiency in a multicultural environment is essential

Required Certifications

• BLS (AHA)
• ACLS (AHA)
• NIHSS

Additional Details

• Scrubs: Navy (undershirts in navy, white, or black)
• Orientation: 1–2 days with a preceptor
• Guaranteed hours: 36 per week
• Travelers work 2 of 3 major holidays (Thanksgiving, Christmas, New Year's)
• Minimal/no fragrances; no personal cell phones or headphones in patient care areas
• Pre-screening competency exam required prior to contract signing