Medical Surgical Registered Nurse
Johnson City, TN
Access Healthcare
4x12 hrs, Nights

Registered Nurse – Medical Surgical (Travel/Contract)

Location: Johnson City, Tennessee
Shift: Night (4 shifts per week, 12 hours each; 18:30–7:00)
Contract Length: 13 weeks

Job Details

• Patient ratio: 1:7
• Schedule options: 36/36, 36/48, or 48/48 (hours on/off rotations)
• No on-call required
• Floating to other units required
• Hospital may cancel one shift biweekly without penalty due to census changes
• Additional shifts beyond commitment are overtime and may be flexed based on census
• Expected to participate in nursing student support and clinical education alongside clinical care

Required Qualifications

• Valid Registered Nurse (RN) license in Tennessee
• Minimum 2 years of Medical-Surgical nursing experience, with experience within the last year
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
• Current American Heart Association (AHA) Basic Life Support (BLS) certification
• NIH Stroke Scale (NIHSS) certification

Orientation & Compliance

• General orientation begins on Sundays; includes 16 hours of non-billable orientation (online CBLs on Sunday)
• Traveler’s permanent residence must be at least 100 miles from the hospital’s service area

Required Certifications & Competencies

• ACLS (Advanced Cardiac Life Support) – AHA Instructor or Provider or RQI accepted (verify unit-specific requirements)
• BLS (Basic Life Support) – AHA Instructor or Provider or RQI accepted
• NIH Stroke Certification (verify if required/preferred for unit)
• Medication/Pharmacology competency exam as applicable
• Color Blind Testing (one-time requirement)
• Competency exam required

Background & Health Requirements

• Background check within 30 days of start, covering all locations lived/worked/schooled in past 7 years
• EPLS/GSA/SAM and HHS/OIG checks required within 30 days of start
• Education verification required
• Tennessee Adult Abuse Registry check required for TN licensed/certified candidates
• Drug screen (9-panel) within 14 days of start (instant acceptable as placeholder)
• Negative TB test or chest X-ray per facility policy (2 PPDs within last 12 months or QGold/TSPOT within 3 months)
• Physical exam within 1 year of start (not required by facility but required by agency)
• Immunizations/vaccinations required:

  • MMR (Measles, Mumps, Rubella) titer or documentation of boosters
  • Varicella titer or documentation of boosters
  • Hepatitis B series, titer, or declination
• Seasonal flu vaccine or approved medical/religious exemption required during flu season (Sept 29 – Mar 31) with facility-specific documentation and approval

Facility-Specific Requirements

• Photo for badge must meet strict standards (neutral background, no filters, no visible facial piercings/tattoos, neutral hair color) and be submitted within 48 hours of contract signing
• Completion of multiple facility-specific forms including:

  • Staff info form (time sensitive, within 24 hours of contract)
  • Department-specific uniform guidelines and dress code review
  • Contaminated sharps and body fluid exposure statement (Hep C titer required if exposure history indicated)
  • Smoking and tobacco use policy review
  • Influenza policy review and exemption forms if applicable
  • Respirator medical evaluation questionnaire (time sensitive, within 48 hours of contract)
  • Respiratory medical clearance form
  • CDC facial hair guidelines for respirator use review
• Respirator fit testing completed onsite; no outside fit tests accepted
• Candidates must comply with CDC facial hair guidelines for respirator use during assignment

Additional Notes

• References: 2 required, 3 preferred
• Skills checklist required prior to start

This position offers a structured night shift schedule with no call responsibilities, floating duties, and involvement in clinical education. It is suitable for RNs with at least 2 years of experience, including first-time travel nurses. Compliance with extensive background, health, and facility-specific requirements is mandatory.