Medical/Surgical Telemetry RN
Oneonta, NY
Access Healthcare
3x12 hrs, Nights

Job Opportunity: RN Medical/Surgical Telemetry

Location: Oneonta, New York
Employment Type: Travel
Contract Length: 12 weeks

Unit Overview

• Combined Medical/Surgical and Telemetry unit (2 North + Observation)
• Nurses may float between 2 North and Observation units based on staffing and patient needs

Patient Population

• Adult to older adult patients

Unit Details

• 2 North: General Medical/Surgical unit with up to 25 beds
• Observation Unit: 7–14 beds depending on facility needs

Common Diagnoses

Observation Unit:

• Acute on chronic CHF
• Hypertension
• Syncope
• Electrolyte imbalances (hypomagnesemia, hypokalemia)
• Dehydration
• Post-operative patients requiring extended observation

2 North:

• Hypertension
• Acute on chronic respiratory failure
• Pneumonia
• COPD exacerbation
• Controlled atrial fibrillation
• Hyponatremia
• Generalized weakness
• COVID
• Sepsis
• Hematuria with continuous bladder irrigation (CBI)
• Anemia
• End-of-life care
• Post-operative care for total knee and hip replacements, and other minor surgeries

Clinical Responsibilities

• Basic telemetry monitoring (centralized, 24/7 monitored by telemetry technicians)
• Common infusions: Heparin, Magnesium, Potassium, Continuous IV fluids
• No advanced titratable cardiac drips
• No routine mechanical ventilation; higher-acuity respiratory support managed outside these units
• Nurse-to-patient ratios:

  • Observation: 1:5-6
  • 2 North: 1:5 (may flex to 1:6)

Support and Resources

• Support aides available (3 per shift on 2 North, 1 per shift on Observation)
• Unit clerk available 9am–5pm
• 24/7 respiratory therapy, phlebotomy, and security services
• Nurses start IVs (no designated IV team)
• Rapid Response and Code teams assigned per shift
• Night-shift provider coverage for orders and floor needs
• Surgical providers on-call but rarely needed
• Pharmacy support remote after hours; most meds stocked in Pyxis
• Wound care SWAT nurse available on day shift for consultation

Equipment & Technology

• Continuous cardiac telemetry monitoring
• Baxter IV pumps
• EPIC electronic charting system
• Pneumatic tube system for transport

Orientation

• Starts on day shift with unit educator
• Includes glucometer competency, policy review, and floor time with preceptor
• Night-shift travelers begin day shift orientation then transition to PM shifts with preceptor

Required Qualifications

• Registered Nurse (RN) license in New York
• Basic Life Support (BLS) certification
• Nursys verification and license/certificate verification required
• Completion of facility-specific competencies and skills checklists
• Required health screenings and immunizations including:

  • MMR
  • Fit test
  • Hepatitis B
  • Influenza vaccine
  • TB test and annual TB questionnaire
  • Varicella
  • Physical/Health statement
  • Drug screen
• Professional requirements:

  • Driver’s License/State ID
  • Two professional references
  • Criminal background check
  • Resume submission
  • Education and employment verification
  • National and state sex offender registry checks
  • Facility-specific client forms and confidentiality agreements

Experience Requirements

• Specialty: RN Medical/Surgical Telemetry
• Required years of experience: Not explicitly stated; assume minimum 2 years in specialty (default for Med/Surg Telemetry roles)
• Prior travel experience: Not required

This position offers a dynamic environment caring for a diverse adult patient population with a variety of medical and surgical needs, supported by a strong interdisciplinary team and resources.