Medical-Surgical Registered Nurse
Weirton, WV
Access Healthcare
3x12 hrs, Nights

Registered Nurse (RN) – MedSurg Level 8

Location: Weirton, West Virginia
Contract Length: 13 weeks
Shift: Nights
Hours: 12-hour shifts, approximately 36 hours per week

Unit and Patient Information

• Unit size: 48 beds
• Nurse-to-patient ratios:

  • Days: 1:5-7
  • Nights: 1:6-8
• Common patient diagnoses: Pneumonia, UTI, altered mental status (AMS), GI bleed, alcohol withdrawal, falls/weakness
• Charge Nurse coverage:

  • Day shift has 2 charge nurses who take patient assignments
  • Night shift has 2 charge nurses scheduled; if only 1 charge nurse, they do not take patient assignments
• Patient care techs (PCTs) or nurse aides:

  • Ratio approximately 1:10-12, may be higher
  • Duties include vitals, blood glucose monitoring (BGM), EKGs, applying heart monitors, bathing, feeding, toileting, turning, and positioning

Clinical Responsibilities

• RNs are required to titrate drips with exceptions (no cardiac drip titration)
• Common drips include heparin, bumex, and lasix
• Respiratory therapy (RT) staff manage breathing treatments, inhalers, ABGs, and respiratory equipment (BiPAP, CPAP, high flow O2)
• RNs monitor respiratory equipment but do not administer treatments or perform checks
• Telemetry monitoring is handled by dedicated monitor techs; RNs are not expected to read or interpret telemetry strips

Scheduling and Work Expectations

• No self-scheduling or block scheduling; schedule created by manager with consideration for requested time off
• Rotating shifts typically arranged as 2 weeks days followed by 2 weeks nights (if applicable)
• Weekend requirement: every other weekend
• Holiday requirement: may be included in holiday rotation; holidays rotate for RNs
• No call or standby requirements
• Floating: may be floated to other MedSurg, MedSurg-Telemetry, or Intermediate Care units for lower acuity patients

Orientation and Training

• Unit-specific orientation includes:

  • 1 day with educator/computer system training
  • 1 day preceptorship
• Orientation covers 12-hour night shifts and weekend scheduling

Required Qualifications

• Valid RN license in West Virginia
• Med Surg (1 year of experience)
• Med Surg experience within the last year
• BLS
• Associate of Science in Nursing / Associate Degree in Nursing
• Driver's License

Additional Information

• Dress code:

  • RN scrubs: Navy blue
  • PCT scrubs: Ceil blue
  • Secretaries: Black and pink
• Patient care tech (PCT) class available for those interested in becoming PCT or CNA

This position offers a structured environment with clear expectations for clinical duties, scheduling, and orientation, suitable for RNs with MedSurg experience seeking a travel assignment.