Registered Nurse ER Holding Telemetry Step-Down
Maryville, TN
Access Healthcare
3x12 hrs, Nights

Job Opportunity: Registered Nurse (ER Holding)

Location: Maryville, Tennessee
Employment Type: Travel/Contract
Contract Length: 13 weeks

Job Description

• Work in a step-down telemetry unit (MS/Tele) from ICU level care
• No ventilator or pressor support required
• Manage drips including heparin, cardizem, amiodarone
• Sotolol initiation
• Telemetry monitoring
• Experience in ER holding area required
• Floating within the hospital based on skill set is required

Required Qualifications

• Active Tennessee RN license
• Minimum 1 year of EPIC experience
• BLS, ACLS, and NIHSS certifications required
• Prior travel experience not explicitly required

Certifications & Training Requirements

• BLS (Basic Life Support): AHA or ARC only, valid at start
• ACLS (Advanced Cardiac Life Support): AHA or ARC only, valid at start
• NIH Stroke Certification: Annual, valid at start
• Orientation Safety Manual Acknowledgement (HIPAA): Valid within 90 days of start
• Pass/Fail Testing (EKG/Medication): Required for all RN candidates; must pass with 84% or higher; two attempts allowed
• Medication Test/Pharmacology Competency Exam: Annual requirement
• Core Competency Training (Parts I, II, III): Annual training including universal precautions, cultural diversity, pain management, OSHA blood-borne pathogens, TJC National Patient Safety Goals, etc.
• Floating Policy Acknowledgement: Must be signed and valid annually

Experience Requirements

• Specialty: Registered Nurse
• Minimum 1 year of specialty experience (based on EPIC experience requirement)
• ER holding experience required
• Floating experience within hospital setting required

Health & Compliance Requirements

• Physical exam within 1 year attesting ability to meet job demands
• Drug screening within 1 year, updated annually (5 panel minimum)
• Immunizations and/or titers required:

  • Tetanus/Diphtheria/Tdap (if working/floating in high-risk areas)
  • Negative TB test (True 2-step PPD, Quantiferon Gold, or Tspot) within 90 days of start
  • Rubeola (Measles), Mumps, Rubella: Positive titer or 2 vaccines required
  • Hepatitis B: Documentation of vaccination series, positive titer, or signed declination
  • Varicella: Positive titer or 2 vaccines required
  • Seasonal Flu Vaccine or approved exemption required (not required for 100% remote)
• Respirator Fit Test to be completed onsite during orientation

Additional Requirements

• Background check within 12 months including 7-year history and alias searches
• E-Verify or attestation required
• Education verification of highest level completed
• State license primary source verification within 30 days of start
• NURSYS license verification within 30 days of start
• Badge photo required prior to start (passport style, plain background)
• Completion of online Cornerstone modules within 72 hours of assignment acceptance (approx. 12 hours)
• Compliance with facility-specific policies and documentation

Summary

This is a travel Registered Nurse position in a telemetry step-down unit requiring ER holding experience and EPIC proficiency. The role involves managing cardiac drips, telemetry monitoring, and floating within the hospital. Candidates must hold an active Tennessee RN license and current BLS, ACLS, and NIHSS certifications. Compliance with extensive health, background, and competency requirements is mandatory. The contract length is approximately 13 weeks.