PCU Telemetry RN
Lees Summit, MO
Access Healthcare
3x12 hrs, Nights

Registered Nurse Travel/Contract Position

Location: Lees Summit, Missouri
Contract Length: 13 weeks

Job Details

• Unit: Progressive Care Unit (PCU)
• Shift: Nights, 3 shifts per week, 12-hour shifts (18:45 - 07:15)
• Patient Ratio: 1:5
• Weekend Requirement: 8 weekend shifts in a 6-week schedule period (Friday/Saturday/Sunday combination)
• Floating: Regular floating between departments, units, and facilities as needed within scope of practice
• Charge RN Assignments: As needed
• First-time Travelers: Accepted
• On-call: Not required
• Local Candidates: Not accepted (must live at least 75 miles from facility)
• Pending License: Not accepted
• Return to Office Restrictions: No more than 7 days
• Guaranteed Hours: Minimum 3 shifts per 13 weeks

Experience Requirements

• Years of Specialty Experience: Minimum 1 year required, 2 years preferred
• Prior Travel Experience: Not explicitly required

Certifications Required

• Required: BLS
• Preferred: ACLS, NIH Stroke Scale (NIHSS)

Skills and Competencies Required

• Work Settings: Medical-Surgical/Telemetry, Cardiac Telemetry
• Cardiac Monitoring & Emergency Response:

  • Interpretation and management of dysrhythmias
  • Telemetry monitoring on unit
  • Use of Rapid Response Teams
• Gastrointestinal: Feeding tube care and management
• Genitourinary/Renal: Pre/Post Hemodialysis management, renal failure care
• IV Therapy/Phlebotomy:

  • Blood product administration
  • Central line, peripheral line, and PICC line care/management
  • Starting IVs
• Medications: Heparin protocols, managing cardiac drips (no titration)
• Neurological/Psychiatric: Care for CVA, pre/post neurosurgery patients
• Plastics: Surgical drain care
• Respiratory:

  • High Flow Nasal Cannula (HFNC)
  • Interpretation of ABGs
  • Oxygen delivery devices (nasal cannula, face masks)
  • Non-invasive airway management
• Professional Skills: Isolation precautions, wound care including wound vac

Preferred Skills:

• ER Holding, Neuro Stepdown, PCU/DOU/IMC/Stepdown experience
• Accessing ports
• Managing vasoactive drips (no titration), PCA
• Traumatic brain injury care
• Orthopedics: ortho trauma, total joint replacements
• Respiratory: chest tubes (Emerson/Pleur-evac), external CPAP/BIPAP, tracheostomy management

Patient Population / Special Requirements

• Intermediate level of care patients including:

  • Stroke, heart failure, suicidal ideation, alcohol withdrawal
  • Respiratory failure, pneumonia, gastrointestinal bleeding, syncope, TIA, falls
  • COVID-19, influenza, C. difficile infections
  • Continuous bladder irrigation (CBI)
  • Post-surgical patients requiring higher level monitoring
  • Renal failure, cardiac drips, heparin management

Charting System

• Epic

Compliance and Documentation Requirements

• Government-issued ID required
• Criminal background check within 6 months, including statewide and nationwide searches
• Quarterly EPLS/GSA/SAM and HHS/OIG checks
• Education verification of highest nursing degree required
• Professional license primary source verification (Missouri licenses via NURSYS)
• Drug testing within 1 year, must include standard panels and not expire during assignment
• Physical exam within 1 year
• Fit mask testing (N95) required and must be renewed annually
• Immunizations and titers required:

  • Tdap (or declination)
  • Negative TB test or chest x-ray within 1 year
  • Measles, Mumps, Rubella, Varicella immunity or vaccination/declination
  • Seasonal flu vaccination or approved exemption during flu season
• Unit-specific competency exams including dysrhythmia/EKG competency within 12 months
• Medication/pharmacology competency exam required
• Color blindness testing within 12 months
• Skills checklist within 1 year
• Various facility-specific documents including HIPAA acknowledgement, confidentiality form, hand hygiene, dress code, and latex allergy questionnaire must be completed prior to start
• Orientation modules (~16 hours) required prior to start, unless completed within last 6 months at the same system
• References: Two professional references required (supervisors preferred)

Additional Notes

• Floating between units and departments is expected
• No block scheduling accommodation
• Must adhere to facility policies including fingernail, dress code, and hand hygiene policies
• Candidates must be prepared for weekend shifts and holiday shifts as assigned

This position is ideal for a Registered Nurse with at least 1 year of PCU or telemetry experience, comfortable with night shifts and floating, and able to meet the comprehensive certification and compliance requirements of a large healthcare system.