Med Surg / Telemetry Observation RN
Parkersburg, WV
Access Healthcare
3x12 hrs, Nights

RN Observation - Nights (Medsurg and Cardiac)

Location: Parkersburg, West Virginia Contract Length: 13 weeks Shift: Nights, 12-hour shifts (7a-7p, 7p-7a), 36 hours per week

Required Qualifications

• ACLS (AHA) and BLS (AHA) certifications
• Unexpired copy of driver's license included with all submittals
• Able to read and interpret cardiac strips
• Experience with set-rate Cardizem and Amiodarone

Preferred Qualifications

• Experience with TR Bands

Unit Overview

• Unit: Medsurg and Cardiac Observation
• Beds: 21 (usually staffed for 18)
• Average RN ratio: 1:6
• Common diagnoses: Pre/post cath, chest pain rule-outs on heparin drips, COPD, CHF, pacers, arrhythmias, and general MedSurg diagnoses
• Charge nurse: Available 24/7. Day charge sometimes takes patients; night charge always takes patients.
• Nurse aide ratio: 1:10, sometimes 1:14-15 depending on census and staffing. Aide duties include EKGs, bladder scans, fingerstick blood sugars, ADLs, and all vitals.
• Telemetry: Telemetry monitor techs are on the 3rd floor. RNs must read and interpret strips. A monitor on this unit allows real-time viewing.

Clinical Scope

• Titrating drips: RNs are not required to titrate.
• Drips: Set-rate Cardizem and Amiodarone only. Occasional drips include Bumex and Lasix.
• Respiratory equipment: BiPAP and CPAP for supportive therapy only. No high-flow equipment. Patients dependent on BiPAP or CPAP would likely be transferred to a higher acuity unit.

Scheduling and Time Off

• Weekends: Travelers work every other weekend (permanent staff work every third). Night weekend shifts are Friday through Sunday; day weekend shifts are Saturday and Sunday.
• Holidays: Permanent staff follow a holiday rotation. If needed, travelers are expected to work weekends.
• Time off: All time-off requests must be submitted up front and included in the contract. Later requests must be approved by the facility. Occasional days off may be considered based on unit needs. Candidates should request time off during prescreen and include it in prescreen notes.
• Clock-in: No sooner than 0653 or 1853.
• Call/standby: Possible if census is low, but not often. Any call or standby would be specified in the contract.

Floating

• Travelers are typically the first to float.
• They may float anywhere in the hospital, including ICU and Stepdown, but only receive patients within their skill set.

Orientation

• 1 day of computer training
• 1 day shadowing on the floor with a preceptor
• Day 3 onward: works independently

Dress Code

• Royal blue scrubs
• Scrub jackets are optional, but if worn must be an actual scrub jacket. No hoodies or sweat jackets.

Additional Notes

• The unit is very busy and fast-paced, with up to 6 discharges per day and 6+ admissions.
• Questions should be directed to the recruiter.