Medical-Surgical Telemetry Registered Nurse
Rochester, NY
Access Healthcare
3x12 hrs, Nights

Job Opportunity: Registered Nurse (MS/Tele)

Location: Rochester, New York
Employment Type: Travel/Contract
Contract Length: 13 weeks

Job Summary

Seeking a Registered Nurse with MS/Tele experience for a travel contract position. The unit is PCU/DOU/IMC/Stepdown preferred. The role involves managing complex cardiac and respiratory patients with a variety of specialized skills and equipment.

Required Experience & Skills

• Years of Experience Required: 1 year recent experience in specialty
• Prior Travel Experience: Not required (first-time travelers accepted)
• Float: Required (must not practice outside of scope)
• Weekend Requirement: Every other weekend required
• Call: As needed

Clinical Skills & Responsibilities

• Interpretation and management of dysrhythmias
• IV insulin protocols and titration of insulin drips
• Feeding tube care and management
• Continuous Bladder Irrigation (CBI)
• Pre/Post Hemodialysis management
• Blood product administration
• Central line, peripheral line, and PICC line care/management
• Starting IVs and heparin protocols
• Management of cardiac drips (no titration)
• PCA management
• Substance withdrawal care
• Surgical drains care
• Care of ventilated patients
• Chest tubes (Emerson/PleurEvac)
• External CPAP/BIPAP, High Flow Nasal Cannula (HFNC), nasal cannula, oxygen face masks, portable oxygen tanks
• Non-invasive airway management and tracheostomy management
• Isolation precautions
• Wound care and wound vac management
• Manage Amiodarone drip
• Rapid response team activation

Patient Diagnoses Commonly Seen

• Acute respiratory failure
• Congestive heart failure (CHF)
• COPD exacerbation
• Pneumonia
• Sepsis
• Pulmonary fibrosis
• Interstitial lung disease (ILD)

Unit Details

• Day/Evening nurse-to-patient ratio: 5:1 (stretch 6-7)
• Night nurse-to-patient ratio: 6-7:1 (stretch 8-10 if staff calls in)
• PCTs available on all units for vital signs, blood glucose checks, EKGs, and ADLs
• In-house phlebotomy team performs peripheral lab draws; nursing responsible for PICC and central lines

Equipment Used

• BIPAP, CPAP
• High Flow Nasal Cannula (HFNC)
• Chronic ventilators
• Tracheostomy care
• Chest tubes

Certifications & Licensure

• BLS (Basic Life Support) - AHA provider/instructor/RQI accepted
• ACLS (Advanced Cardiac Life Support) - AHA provider/instructor/RQI accepted
• PALS, NRP, TNCC, EFM as required by unit
• State RN license required (no pending license accepted)
• EPIC experience preferred

Orientation & Scheduling

• Orientation: 4 hours of modules prior to start, 4 hours classroom with educator, remainder of first 12-hour shift spent orienting on unit
• Open to block scheduling but not guaranteed
• Return to Office (RTO) restrictions: Keep close to 1 week
• No locals accepted within 75 miles radius
• Scrubs: Navy blue/white

Compliance & Documentation Requirements

• Government-issued photo ID required
• 7-year criminal background check within 3 months of start
• EPLS/GSA/SAM and HHS/OIG checks required within 3 months and run monthly
• Education verification from primary source required
• Foreign equivalency evaluation if applicable
• Physical exam within 1 year of start, updated annually
• Fit mask test within 1 year, updated annually
• Negative TB test or chest X-ray within 1 year
• Required immunizations and titers: Rubeola, Mumps, Rubella, Hepatitis B, Varicella
• Drug screening within 30 days of start
• Seasonal flu vaccination or signed declination required during flu season
• Eye exam (Snellen) within 1 year
• COVID vaccination copy preferred but not required
• References, employment application, skills checklist, and work history verification required

State-Specific Requirements (New York)

• NYS Nurse Aide Registry (if applicable) within 3 months of start
• Fingerprinting and disciplinary action search for certain units
• Sex offender registry check within 30 days of start
• Medicaid exclusion list check within 3 months and run monthly

This position is ideal for a Registered Nurse with at least 1 year of recent MS/Tele experience looking for a travel contract in Rochester, NY, with a focus on cardiac and respiratory care in a stepdown/IMC setting.