Medical-Surgical Telemetry Registered Nurse
Middlebury, VT
GHR Healthcare - PH Division
3x12 hrs

Job Opportunity: Medical-Surgical Telemetry RN

Facility Overview

• Type: Critical Access Hospital
• Unit: Medical Surgical Telemetry (includes some Progressive Care)
• Unit Size: 25 beds within 17 rooms (4 private rooms including 1 End of Life and 3 isolation rooms)
• Patient Population: Medical-surgical telemetry patients, orthopedics, urology, ENT, gynecology, general surgery, and some progressive care patients
• Patient Age Range: Young adult to end of life
• Nurse-to-Patient Ratio: Generally 1:4 or 1:5 depending on acuity
• Documentation System: EPIC
• Medication System: PYXIS
• Support Services: 24/7 hospitalist coverage dedicated to the unit, 24/7 lab and x-ray support, respiratory and anesthesia support available 24/7
• Special Equipment: Alaris IV pumps, Phillips cardiac monitors
• Respiratory Management: Respiratory therapists manage ventilators, nebulizers, and inhalers

Job Details

• Contract Length: 16 weeks (with possible extension up to 32 weeks)
• Schedule: 12-hour shifts (6:45 am - 7:15 pm), including every other weekend minimum; holiday shifts as needed
• Floating: Voluntary only, within scope of practice
• Charge Nurse: Not required
• Orientation: Bi-weekly orientations on Mondays

Requirements

• Experience:

  • Minimum 2 years clinical experience in Medical-Surgical Telemetry required
  • Progressive care experience preferred
  • Prior travel nursing experience required
  • EPIC experience within the past 2 years required (non-negotiable)
  • Charge RN experience required
  • Experience with insulin drips and cardiac drips required
• Certifications:

  • AHA BLS
  • AHA ACLS
  • NIH Stroke Scale (NIHSS) certification required prior to start
• Additional:

  • Must be able to explain any employment gaps over 90 days
  • Complete work history including bed count, EMR, and facility type required for submission

Unit Specifics

• The unit functions as Code 99, Rapid Response, Fall, and IV team for the hospital.
• Patients requiring ICU-level care are transferred within the network; supportive care protocols are in place during transfer.
• The unit supports a culture of teamwork and professional growth with approachable hospitalists and management.
• House supervisors provide oversight when managers are not present; one manager is always on call.
• Semi-private rooms support negative pressure isolation.
• Ancillary staff includes 2-3 LNA/CNA/PCT per shift and variable unit clerks/secretaries and volunteers.

Additional Notes

• No block scheduling allowed.
• IV shifts available to offer.
• Reliable personal or rental vehicle strongly recommended due to lack of public transportation.
• Vehicles should have all-season or snow tires from November through April.

This position is ideal for experienced Medical-Surgical Telemetry RNs who are comfortable with progressive care patients, have recent EPIC experience, and are looking for a supportive, team-oriented environment in a critical access hospital setting.