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 per Day: 12
Hours per Week: 36

Job Overview

• Float Pool RNs will rotate between MedSurg/Telemetry units and Stepdown units.
• Units include MedSurg (1W, 2E), Stepdown (3W), IRU (Rehab), and ED Holding (inpatient MedSurg or Stepdown patients).
• Floating may also include ICU as helping hands.

Unit Details

MedSurg Units (1W & 2E)

• Beds: 1W (28 private beds), 2E (29 private beds including 2N & 2S areas)
• Patient Types: Post-surgical, orthopedic, pneumonia, dialysis, palliative care, hospice, end-of-life, low volume inpatient chemo, COVID patients (both 'clean' and 'dirty' hallways)
• Nurse-to-Patient Ratio: 1:6-7
• Certifications Required: BLS only
• Drips: Heparin and possibly MSO4 for comfort measures; no cardiac drips
• Ventilation: Bipap, Cpap, High Flow (managed by Respiratory Therapy)
• Telemetry: Remote monitoring by monitor tech; no direct nurse monitoring of strips
• Staffing: 2 CNAs on day shifts, none at night
• Scheduling: 12-hour shifts (7a-7:30p; 7p-7:30a), self-scheduling allowed with blocked schedules
• Weekend Requirement: Every other weekend (Sat/Sun), plus 2 Fridays per schedule (often Fri/Sat/Sun grouped)
• Orientation: 1 shift with preceptor
• 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 (dysrhythmias, CVAs), mix of patients downgraded from ICU
• Nurse-to-Patient Ratio: 1:4-5 (compared to 1:6 on MedSurg)
• Certifications Required: BLS, ACLS, NIHSS
• Drips: Must titrate Cardizem, Nitro, Dopamine, Dobutamine, Heparin; insulin only 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; no CNAs after 11pm
• Support: Hospitalist in-house 24/7; Intensivist 7a-7p daily and on-call nights; Respiratory Therapy and Pharmacy available 24/7
• Scheduling: 12-hour shifts (7a-7:30p; 7p-7:30a), block scheduling allowed
• Weekend Requirement: Every other weekend (Days: Sat/Sun; Nights: Fri/Sat/Sun)
• Orientation: 2 shifts with preceptor
• Scrub Color: Navy blue (jackets must also be navy blue if worn)

Required Certifications & Qualifications

• Current RN license for Pennsylvania
• BLS certification (required for all units)
• ACLS and NIHSS certifications (required for Telemetry/Stepdown unit)
• Comfortable caring for COVID-positive patients in MedSurg unit (may be assigned to both 'clean' and 'dirty' hallways simultaneously)
• Ability to titrate multiple drips on Telemetry/Stepdown unit
• Ability to read and interpret telemetry strips on Telemetry/Stepdown unit

Additional Information

• Nurse managers and charge nurses vary by shift; resource nurse on MedSurg nights takes full patient assignment
• No dedicated IV team; ICU charge nurses or director available for difficult IV sticks
• Self-scheduling and blocked schedules are supported as long as unit needs are met
• Participation in permanent staff holiday rotation required
• Prior travel experience is not explicitly required

Summary

This float pool RN position requires flexibility to work across MedSurg, Telemetry, and Stepdown units with a focus on cardiac and complex medical patients. Strong critical care skills, certifications, and comfort with telemetry and drip management are essential. The role offers 12-hour night shifts with supportive management and opportunities for self-scheduling.