Float Pool RN MedSurg/Telemetry/Stepdown
Uniontown, PA
Access Healthcare
3x12 hrs, Nights

Registered Nurse (Float Pool - MedSurg/Telemetry/Stepdown)

Location: Uniontown, Pennsylvania
Contract Length: 13 weeks
Shift: Nights
Hours: 12-hour shifts, 36 hours per week

Job Overview

• Float Pool RNs will rotate between Medical-Surgical (MedSurg), Telemetry/Stepdown, Inpatient Rehab Unit (IRU), and Emergency Department (ED) holding areas.
• Units include MedSurg (1W, 2E), Stepdown (3W), IRU Rehab, and ED holding for inpatient MedSurg or Stepdown patients.

Unit Details

MedSurg Units (1W & 2E)

• Beds: 1W (28 private beds), 2E (29 private beds, includes 2N & 2S areas)
• Patient Types: Post-surgical, orthopedic, pneumonia, dialysis, palliative care, hospice, end-of-life, low volume inpatient chemo, COVID patients on designated hallways (must be comfortable caring for both "clean" and "dirty" patients simultaneously)
• Nurse-to-Patient Ratio: 1:6-7
• Certifications: BLS required
• Drips: Heparin and possibly morphine sulfate for comfort measures; no cardiac drips
• Ventilation: Bipap, Cpap, High Flow managed by Respiratory Therapy (RT)
• Telemetry: Remote monitoring by monitor tech; no direct nurse monitoring of strips
• Staffing: 2 CNAs on day shifts, none at night
• Scheduling: Self-scheduling and blocked schedules allowed if unit needs are met
• Floating: Only to other MedSurg units
• Orientation: 1 shift with a preceptor
• Weekend/Holiday: Every other weekend (EOW) including 2 Fridays per schedule; holiday rotation with permanent staff
• Scrub Color: Navy blue (jackets must also be navy blue if worn)

Telemetry/Stepdown Unit (3W)

• Beds: 28 private beds
• Patient Types: Heavy cardiac cases including dysrhythmias, CVAs, and patients downgraded from ICU
• Nurse-to-Patient Ratio: 1:4-5 (compared to 1:6 in MedSurg)
• Certifications: BLS, ACLS, NIHSS required
• Drips: Must titrate Cardizem, Nitro, Dopamine, Dobutamine, Heparin; insulin only at set rate; no sedation drips
• Ventilation: Bipap, Cpap, High Flow
• Telemetry: Nurses must read and interpret strips; unit serves as central monitor station for hospital
• Staffing: 2 CNAs during day and mid shifts; none after 11 pm
• Support: Hospitalist in-house 24/7; Intensivist on-site 7a-7p daily and on-call after hours; Respiratory Therapy and Pharmacy available 24/7
• Floating: May float to ICU as helping hands
• Orientation: 2 shifts with a preceptor
• Weekend/Holiday: Every other weekend (EOW); holiday rotation with permanent staff
• Scheduling: Block scheduling allowed; communication with staff regarding schedules is emphasized
• Scrub Color: Navy blue (jackets must also be navy blue if worn)

Required Certifications & Qualifications

• Current RN license in Pennsylvania
• BLS certification (required for all units)
• ACLS and NIHSS certifications (required for Telemetry/Stepdown unit)

Experience

• Specialty experience: Float Pool nursing with MedSurg and Telemetry/Stepdown preferred (minimum 1 year recommended based on specialty complexity)
• Prior travel experience: Not explicitly required

Additional Information

• Nurses must be comfortable caring for COVID-positive patients alongside non-COVID patients on MedSurg units.
• Ability to titrate multiple drips and interpret telemetry strips is essential for Telemetry/Stepdown assignments.
• Orientation is unit-specific and includes preceptor support.
• Weekend and holiday work is required on a rotating basis.
• Self-scheduling and block scheduling options are available to accommodate work-life balance.

This position offers a dynamic float pool role requiring flexibility, strong clinical skills in MedSurg and Telemetry/Stepdown care, and the ability to work collaboratively across multiple inpatient units.