Telemetry Stepdown RN
Uniontown, PA
Access Healthcare
3x12 hrs, Nights

Job Opportunity: Registered Nurse (RN) - Telemetry/Stepdown (3W IMCU)

Location: Uniontown, Pennsylvania
Contract Length: 13 weeks

Unit Details

• Unit: 3W Stepdown (Intermediate Care Unit - Telemetry)
• Beds: 28 private beds
• Patient Acuity: Heavy cardiac focus including dysrhythmias, CVAs, and patients downgraded from ICU
• Nurse-to-Patient Ratio: 1:4-5 (1:6 if MedSurg acuity)
• EMR System: Cerner currently, transitioning to EPIC
• Telemetry Monitors: Yes, RNs must read and interpret strips; serve as central monitor station for entire hospital

Shift Information

• RN Shifts: 12-hour shifts (7:00 AM - 7:30 PM; 7:00 PM - 7:30 AM)
• CNA Shifts: 8-hour shifts (6:30 AM - 3:00 PM; 2:30 PM - 11:00 PM)
• Weekend Requirement: Every other weekend (Days on Saturday/Sunday, Nights on Friday/Saturday/Sunday)
• Holiday Requirement: Every other holiday, integrated into permanent staff holiday rotation
• Floating: May float to ICU as needed

Required Certifications & Skills

• BLS (Basic Life Support) - Required
• ACLS (Advanced Cardiovascular Life Support) - Required
• NIHSS (National Institutes of Health Stroke Scale) - Required
• Ability to read and interpret cardiac telemetry strips
• Ability to titrate drips including Cardizem, Nitro, Dopamine, Dobutamine, and Heparin (Insulin only at set rate; no sedation drips)
• Experience with Bipap, Cpap, and High Flow oxygen devices
• Must be able to work with hospitalist and intensivist teams; hospitalist on-site 24/7, intensivist coverage 7 days/week (7 AM - 7 PM) with on-call after hours

Orientation & Support

• Floor-specific orientation: 2 shifts with a preceptor
• No dedicated IV team; ICU charge nurses or ICU Director assist with difficult IV sticks
• Respiratory Therapy and Pharmacy available in-house 24/7
• Charge Nurse: Day shift charge nurse has no patient assignments; night charge nurse may have assignments
• Nurse Aides: 2 per shift during day and mid shifts; no CNA coverage after 11 PM

Work Environment & Dress Code

• Scrub Color: Navy blue (jackets must also be navy blue if worn)
• The Director is noted for excellent communication and flexibility, including block scheduling options

Required Experience & Licensure

• Specialty: Telemetry/Stepdown RN
• Required Years of Experience: Not explicitly stated; assume minimum RN experience appropriate for telemetry stepdown care
• Prior travel experience: Not required
• Licensure: Valid RN license for Pennsylvania
• Must have an unexpired driver’s license

Summary

This is a 13-week contract for an experienced Telemetry/Stepdown RN in a 28-bed intermediate care unit with a strong cardiac patient population. The role requires advanced certifications (BLS, ACLS, NIHSS), strong telemetry interpretation skills, and the ability to manage multiple drips and respiratory support devices. The position offers supportive leadership, structured orientation, and a collaborative team environment with 24/7 in-house hospitalist and respiratory therapy support.