Med Surg/Telemetry RN
Sacramento, CA
American Traveler
3x12 hrs, Days

Assignment Overview

• Shift: Days, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: Dec 8, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is seeking an experienced RN for a Med/Surg Tele unit position requiring a CA RN license and proficiency in telemetry strip interpretation.

Details

• Acute care Med/Surg Tele unit (Med Acute 2nd floor) with 27 beds
• Patient ratios of 1:4-5 for Tele and 1:5 for Med/Surg, with 8-12 Tele patients possible
• Diverse patient population including GI, GU, CHF, pneumonia, sepsis, chest tubes, COVID, bariatric, ortho pre/post-op, psych, and ETOH withdrawal cases, with significant county care population
• OB overflow couplets covered with OB RN float support
• Utilizes Phillips monitors with strips printed every 4 hours, requiring RN verification and charting (no monitor techs on unit)
• RNs responsible for titrating drips including Heparin, Diltiazem, and Amiodarone
• Charge nurse present each shift, generally does not take patient assignments but provides break relief
• RN aide support available based on census and staffing (typically 2 days, 2 swing, 1 night)
• Respiratory therapy support for CPAP, BiPAP, and high flow oxygen (no ventilators on unit)
• 12-hour day shifts (7a-730p), EOW requirement (Sat/Sun for days)
• Holiday coverage rotates in with core staff
• In-house floating to ER holds, Med Surg, Def Obs units, and other Sacramento facilities; mid-shift float to another facility is rare
• Uses Cerner EMR
• Multicultural patient population with translator services available (Proprio, language line, tablets, portable cameras)

Requirements

• Active CA RN license (Standard or Compact) required, pending licenses not accepted
• Minimum 2 years of RN experience required
• Current certifications required: BLS (AHA), ACLS (AHA), and NIHSS
• Proficiency in reading and interpreting telemetry strips required
• Must be comfortable adapting to a multicultural patient environment with diverse dialects
• Copy of driver's license required for consideration, must reflect legal name matching government-issued ID
• Two supervisor/peer professional references required, one within 12 months and one within 3 years of employment, including dates and rehire eligibility

Additional Information

• Provide direct patient care in a low-income area with common homeless, substance abuse, and inmate patient populations, as well as patients with lower health literacy
• Travelers oriented to surgeon-specific protocols for post-surgical patients
• Self-scheduling used, finalized by unit manager
• Unit/department orientation includes 1-2 days on the floor with a preceptor
• Scrub color is navy, with undershirts in navy, white, or black only; scrub jackets optional and must be navy
• Minimal to no perfumes or scents permitted; no headphones or cell phones allowed in patient care areas
• Travelers will work 2 of the 3 major holidays (Thanksgiving, Christmas, New Year's); holiday time off considered but not guaranteed
• First-time travelers welcome as long as they communicate support needs
• Dysrhythmia exam required prior to contract signing, to be completed within 24-48 hours with a minimum 80% passing score
• Sterile technique competency test (Foley catheter insertion and central line dressing changes) administered on first day of orientation
• Candidates must not have been directly employed by any CommonSpirit-affiliated facility (including CHI and Dignity Health) within the past year