Medical-Surgical/Telemetry Registered Nurse
Lees Summit, MO
Access Healthcare
3x12 hrs, Nights

Registered Nurse – MS/Telemetry Unit

Location: Lees Summit, Missouri
Employment Type: Travel/Contract
Contract Length: 13 weeks

Job Summary

• Position: PCU Registered Nurse on a Medical-Surgical/Telemetry unit
• Shift: Night shift, 3 shifts per week, 12 hours each (18:45 – 7:15)
• Patient Ratio: 1 nurse to 5 patients
• Facility Type: Community Hospital with 240 staffed beds, including a 16-bed ICU
• Charting System: EPIC
• Parking: Free
• Scrub Color: Navy

Required Experience & Skills

• Minimum 2 years of nursing experience, including community hospital experience
• Previous charge nurse experience preferred but not required
• First-time travel nurses accepted
• Must be able to float regularly within scope to different departments, units, and facilities as needed
• Required to work 8 weekend shifts within a 6-week schedule period (combination of Friday, Saturday, Sunday)
• No on-call required
• Must live at least 75 miles from the facility (locals not accepted)
• Maximum of 7 days allowed for return to office (RTO) restrictions
• Guaranteed minimum of 3 shifts per 13 weeks

Clinical Skills & Competencies

• Work settings include MS/Telemetry, Telemetry Oncology, Cardiac Telemetry, ER Holding, Neuro Stepdown, PCU/DOU/IMC/Stepdown
• Cardiac monitoring and emergency response: interpretation and management of dysrhythmias, use of rapid response teams
• Cardiovascular care: post cardiac angiogram, post MI, pre/post cardiac catheterization
• Gastrointestinal: feeding tube care and management
• Renal: pre/post hemodialysis management, renal failure care
• IV therapy/phlebotomy: blood product administration, central line, peripheral line, PICC line management, starting IVs
• Medication management: heparin protocols, management of cardiac and vasoactive drips (no titration), PCA
• Neurological/psychiatric: care for CVA patients
• Respiratory care: chest tubes (Emerson/Pleur-evac), external CPAP/BIPAP, high flow nasal cannula, ABG interpretation, non-invasive airway management, tracheostomy care
• Wound care including wound vacs and surgical drains
• Isolation precautions and infection control
• Special patient populations: AMI, cardiac arrhythmia, heart failure, chest pain, vascular/PVD, intermediate level of care, sepsis/infection, pneumonia, alcohol withdrawal, suicidal ideation, GI bleed, femoral line/groin site management, pre/post cath patients

Preferred Skills:

• Cardiovascular sheath removal
• Accessing ports and phlebotomy
• Orthopedics: total joint replacements

Certifications Required

• Current Registered Nurse license valid in Missouri
• BLS (Basic Life Support) – AHA only
• ACLS (Advanced Cardiac Life Support) – AHA only (certificates of completion accepted for up to 1 month)
• NIH Stroke Scale Certification (NIHSS) – must be updated annually unless otherwise specified
• CPI (Crisis Prevention Institute) certification preferred
• Additional certifications may be required based on unit assignment (e.g., PALS, NRP, TNCC, EFM) – verify with unit-specific requirements

Compliance & Background Requirements

• Government-issued ID required (driver’s license for home health positions)
• Criminal background check within 6 months, including statewide and nationwide searches, sex offender registry, and international searches if applicable
• Quarterly EPLS/GSA/SAM and HHS/OIG checks
• Education verification of highest nursing degree required before start
• Missouri Family Care Safety Registry (FCSR) and Highway Patrol checks as applicable
• Fingerprinting required for assignments involving long-term care or rehab units in Illinois
• Drug testing within 1 year of start, including a comprehensive panel (amphetamines, barbiturates, benzodiazepines, cocaine, methadone, opiates, oxycodone, PCP)
• Annual flu vaccination or approved medical/religious exemption required during flu season (Sept 30 – April 1)
• Physical exam within 1 year of start
• Fit mask (N95) testing required annually
• Negative TB screening or chest x-ray within 1 year of start, with yearly TB questionnaire
• Immunization or immunity documentation required for measles, mumps, rubella, varicella, and Tdap (with some unit-specific exemptions)
• Required facility-specific documents: HIPAA acknowledgement, latex allergy questionnaire, confidentiality form, hand hygiene policy, fingernail policy, dress code policy, regulatory compliance education, orientation modules (approx. 16 hours)

Additional Requirements

• Must complete unit-specific competency exams annually, including medication/pharmacology and dysrhythmia/EKG competency (80% pass rate required)
• Unit-specific skills checklist required within 1 year of start; oncology skills checklist required for Med Surg-Oncology unit
• Two professional references required, preferably supervisors within the last year
• Employment application must be submitted and uploaded for facility review
• Badge photo required (head and shoulders, white background, no obstructions, taken within 6 months of start)

Work Environment & Other Details

• Floating between units and departments is expected to meet facility needs
• No block scheduling accommodations
• No pending licenses accepted
• No on-call duties
• Telemetry equipment and monitoring used regularly

Requirements/Qualifications

• Valid Registered Nurse (RN) license in Missouri
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
• Minimum 2 years of Med Surg / Telemetry nursing experience, with experience within the last year
• BLS certification issued by the American Heart Association
• NIH Stroke Scale (NIHSS) certification

This position offers an opportunity to work in a community hospital setting with a diverse patient population requiring intermediate to complex nursing care on a telemetry/medical-surgical unit. The role demands strong clinical skills, flexibility to float, and adherence to rigorous compliance and certification standards.