Cardiac Telemetry Registered Nurse
Salisbury, NC
Wayward Medical
4x12 hrs, Nights
Relocation Bonus

Job Opportunity: Registered Nurse - Cardiac Telemetry

Location: Salisbury, North Carolina
Employment Type: Travel/Contract
Contract Length: 13 weeks

Job Overview

• Work on a fast-paced, busy cardiac and stroke unit with high patient turnover (78-90 patients per week).
• Primary care includes stable pre/post procedure cardiac patients (pacemaker implantation, ICDs, cardiac catheterization, PCI), stroke patients (CVA, TIA), and cardiac drips (Cardizem, Dopamine, Amiodarone).
• Unit includes a COVID-positive side with patients on opti-flow and chronic BIPAP.
• Target nurse-to-patient ratios range from 1:5 to 1:6; nurses must be comfortable managing up to 6 patients.
• Shift: Night shift, 4 shifts per week, 12 hours each (18:45 - 07:15).
• Call requirement and float requirement apply.
• Weekend requirement: every other weekend plus 2 Mondays and 2 Fridays in a 6-week period.
• Self-scheduling with leadership oversight; no block scheduling allowed.
• Orientation: 36 hours, must be available every day during the first week.

Required Qualifications

• Valid Registered Nurse (RN) license in North Carolina
• Minimum 2 years of telemetry nursing experience, including telemetry experience within the last year
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
• Current ACLS (Advanced Cardiac Life Support) certification
• Current BLS (Basic Life Support) certification issued by the American Heart Association or American Red Cross
• Previous traveler nursing experience accepted

Patient Population & Unit Details

• Cardiac and stroke patients including:

  • Stable pre/post pacemaker and ICD implantation
  • Cardiac catheterization and peripheral vascular interventions (without sheaths)
  • Unstable angina, low-risk chest pain, CHF, dysrhythmias
  • New CVA and TIA patients
• Use of telemetry, pulse oximetry, and specialized cardiac drips.
• COVID-positive patients on opti-flow and chronic BIPAP during surges.
• No unstable oxygen patients on BIPAP or non-rebreather masks.
• Team lead available to assist with admissions and discharges.

Scheduling & Work Conditions

• 48 hours per week, night shift (4x12 hour shifts).
• Call and float requirements.
• Weekend coverage every other weekend plus additional weekdays.
• No block scheduling allowed.
• RTO (Request Time Off) after booking is not allowed and cannot be worked out onsite; excessive call-offs may lead to cancellation.

Orientation & Uniform

• 36-hour orientation required, attendance every day during the first week.
• Scrubs: Navy blue or white scrubs or a mixture; jackets must match scrubs in material and color (no fleece). No crocs with holes allowed.

Required Documentation & Compliance

• Background check within 6 months required.
• Drug screening (9-panel) within 6 months.
• Negative TB test or chest x-ray within 1 year.
• Required immunizations and titers: Measles (Rubeola), Mumps, Rubella, Varicella, Hepatitis B.
• Flu vaccination or approved exemption required.
• Physical exam and references required per travel agency standards.
• Completion of facility-specific education modules and compliance training.
• Must complete medication safety training and competency exams.
• Must complete Dysrhythmia/EKG competency exam within 72 hours of start (minimum 82% score required).
• Must complete color blindness testing within 1 year.
• Must complete facility orientation and confidentiality agreements.
• Photo for badge required immediately after signing contract.

Equipment & Systems

• Use of Pyxis medication system, EPIC Dimensions documentation, and SBAR communication.
• Familiarity with telemetry monitoring and pulse oximetry.
• Ability to titrate cardiac drips safely.

Additional Notes

• This is a challenging unit requiring comfort with high patient acuity and turnover.
• COVID-positive patients are currently housed on the unit; appropriate precautions and experience are necessary.
• No block scheduling and strict RTO policies to ensure staffing stability.

This position is ideal for experienced cardiac telemetry nurses comfortable with a fast-paced environment and complex cardiac patient care, including those new to travel nursing.