MedSurg/Telemetry Registered Nurse
Rochester, NY
Access Healthcare
3x12 hrs, Nights

Registered Nurse – MedSurg/Telemetry

Location: Rochester, New York
Employment Type: Travel/Contract
Contract Length: 13 weeks (with possible extension)
Shift: 3x12 hour rotation, Day (7:00 AM – 7:00 PM) / Night (7:00 PM – 7:00 AM)
Weekend Schedule: Every other weekend
Floating: Required
Local Candidates: Not accepted; must live more than 75 miles away
Patient Ratio Experience: Required to have experience managing a 1:6 patient ratio (able to handle 1:5 to 1:7 on this high-volume unit)
Charge Nurse Experience: Required
Charting System: EPIC experience required

Unit & Patient Population

• Complex care unit for Medicine, orthopedic overflow, and complex long-term patients
• High patient volume requiring strong multitasking and clinical skills

Required Skills & Clinical Competencies

• MedSurg and Telemetry nursing, including on-unit monitoring
• Use of Rapid Response and Code teams
• Pacemaker management (temporary and permanent)
• Feeding tube care and management
• Blood product administration
• Central line, peripheral line, and PICC line care/management
• Phlebotomy and IV starts
• Heparin protocols
• Orthopedic trauma and total joint replacements
• Surgical drain management
• High Flow Nasal Cannula (HFNC), nasal cannula, oxygen face masks, and portable oxygen tank use
• Tracheostomy management
• Isolation precautions
• Wound care including Wound Vac

Required Certifications

• New York RN license in hand (no exceptions)
• BLS (AHA provider/instructor/RQI accepted)
• NIH Stroke Scale Certification (valid and to be updated annually)
• ACLS, PALS, NRP, TNCC, EFM as required by unit (AHA accepted)
• Orientation Safety Manual Acknowledgement
• State License Primary Source Verification within 30 days of start
• NURSYS Verification within 30 days of start

Requirements / Qualifications

• Valid RN license in New York
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
• Minimum 1 year of MedSurg/Telemetry nursing experience within the last year
• Experience in Charge Nurse roles
• Proficient in use of Rapid Response and Code teams
• Experience managing temporary and permanent pacemakers
• Skilled in blood product administration
• Competent in central line and PICC line care and management
• Knowledgeable in heparin protocols
• Experience with total joint replacements and surgical drain management
• Skilled in High Flow Nasal Cannula (HFNC) and portable oxygen tank use
• Proficient with EPIC charting system
• NIH Stroke Scale (NIHSS) certification

Health & Compliance Requirements

Candidates must complete the following health-related requirements and lab work within 5 days of contract signing:

• Physical exam (within 1 year, updated annually)
• Fit mask test (annual) – acceptable masks include Halyard duckbill 1870, 1860 Regular, or 1860 Small; PAPR accepted if failed
• Negative TB test or chest X-ray (within 1 year) or TB questionnaire in lieu of annual renewal
• Immunizations or positive titers for:

  • Rubeola (Measles)
  • Mumps
  • Rubella
  • Hepatitis B (surface antibody positive titer, completed series, or declination)
  • Varicella
• Drug screening within 30 days of start (includes amphetamines, cocaine, fentanyl, heroin, opiates, etc.)
• Seasonal flu vaccination or signed declination during flu season
• Snellen eye exam within 1 year (not required annually)
• COVID vaccination copy preferred but not required

Background & Documentation Requirements

• Government-issued photo ID (Driver’s License or State ID)
• 7-year criminal background check within 3 months of start (including felony, SSN trace, national criminal, sex offender, education verification)
• EPLS/GSA/SAM and HHS/OIG checks within 3 months of start, run monthly thereafter
• Foreign equivalency education evaluation if applicable
• Education verification from primary source (no hard copy degrees accepted)
• Employment application and work history verification (minimum 2 past employments verified)
• References (2 within 3 years) required for agency submission
• Photo for badge (passport-style with solid background)
• Facility-specific compliance attestations and forms to be completed prior to start

Facility & Work Environment

• Tertiary care hospital with 528 staffed beds
• Uniform scrub color: navy bottoms, navy or white tops
• Charting system: EPIC

This position requires a highly skilled MedSurg/Telemetry RN comfortable with complex patient care, high patient volumes, and a fast-paced environment. Candidates must have a valid New York RN license and meet all certification, health, and background requirements prior to starting.