Cardiac Telemetry RN
Salisbury, NC
Access Healthcare
3x12 hrs, Nights

Registered Nurse - Cardiac Tele

Location: Salisbury, North Carolina Employment type: Travel/Contract Contract length: 13 weeks (or longer) Shift: Night, 12-hour shifts, 18:45-07:15 Hours: 36 hours per week (3x12)

Schedule and Expectations

• No block scheduling; self-scheduling within guidelines, with leadership oversight to balance as needed.
• Call requirement: Yes. Frequency depends on patient census.
• Float requirement: Yes.
• Weekends: Every other weekend, plus 2 Mondays and 2 Fridays in a 6-week period.
• Return-to-office (RTO) after booking is not allowed, and may not be worked out onsite. Call-offs or additional RTO on the unit could result in cancellation.
• Unit orientation: 36 hours. Travelers must be available every day in week one for hospital orientation.
• Travelers with first-time travel experience are accepted. Local candidates are accepted.

Required Qualifications

• Valid RN license in North Carolina
• Associate of Science in Nursing / Associate Degree in Nursing
• Med Surg / Telemetry experience (2 years)
• Med Surg / Telemetry experience within the last year
• Experience working with cardiac patients
• Experience with cardiac or critical care drips
• Experience with PCI (percutaneous coronary intervention)
• IV insertion skills
• ACLS (Advanced Cardiac Life Support) issued by the American Heart Association or American Red Cross
• BLS issued by the American Heart Association or American Red Cross
• NIHSS certification

Unit and Patient Profile

• Primary cardiac and stroke unit.
• Patient population includes: pacemaker and implantable cardioverter-defibrillator (ICD) care, cardiac catheterization, unstable angina, low-risk chest pain evaluation, CHF, dysrhythmias, and new CVA/TIA patients.
• Multiple drips are run, including Cardizem, dopamine, and amiodarone. Cardizem drips may need to be titrated.
• Target ratio is 1:5-6, which may fluctuate with unit needs. Travelers must be comfortable taking 6 patients, including during a surge.
• The unit turns over 78-90 patients per week. A team lead assists with admissions and discharges.
• Experience with a fast-paced unit is expected.
• The unit currently cares for COVID-positive patients on Optiflow and BiPAP. During a COVID surge, the 23-bed side of the unit is a COVID unit taking patients on Optiflow and acute BiPAP.
• Equipment limits: telemetry and pulse oximetry are used. High-flow O2 is for stable patients. Non-rebreather masks are used only for palliative patients. BiPAP may be used only for chronic use; no new BiPAP starts. Unstable O2 with BiPAP or a non-rebreather is not allowed.
• Unit systems: Pyxis, Dimensions (EPIC), and SBAR.

Attire

• Navy blue scrubs, white scrubs, or a mix of the two are allowed. Facility t-shirts are allowed every day.
• Jackets must match the uniform material (not fleece) and color.
• No Crocs with holes.

Onboarding Requirements

• Photo ID (passport or driver's license).
• Background check and drug screen (9-panel or instant), both within 6 months of start.
• Negative TB test or chest X-ray within 1 year of start.
• 2026-27 flu vaccination. Intranasal vaccines are acceptable. Exemptions are available for medical or religious reasons, and exempt staff must wear a mask at all times on campus.
• Facility education and compliance modules, including annual compliance training and education roster completion.