Med Surg/Tele Float RN
Seattle, WA
Access Healthcare
3x12 hrs, Nights

Registered Nurse – MS/Tele Float

Location: Seattle, Washington Start date: 12/14 Contract length: 13 weeks Shift: Nights, 3x12-hour shifts (19:00–07:30), 36 hours per week

Required Qualifications

• Experience: 2 years of experience required
• Specialty experience: Ortho/Neuro-Stroke and Cardiac Tele experience required
• Dysrhythmia skills: Must be proficient in interpretation and management of dysrhythmias
• Certifications:

  • ACLS (AHA only; Canadian certification from the Heart and Stroke Foundation is acceptable)
  • BLS (AHA only)
  • NIH Stroke Certification
• Licensure: Primary source verification of state license required. Pending license accepted.
• First-time travelers: Does not accept first-time travelers (hard stop)
• Competencies:

  • Medication test with score breakdown showing at least 80% in the Dosage Calculations category
  • Advanced dysrhythmia competency exam with a score of 80% or higher, completed and on file 10 days before start
  • Pass/fail fill-in-the-blank tele test at orientation
  • Color blind test, updated annually starting 5/4/2026
  • Competency exam

Preferred Qualifications

• None listed

Schedule and Scheduling Requirements

• Holiday RTO: Travelers may have 1 of 3 major holidays off and must work 2 holidays (eve/day). No Christmas RTO.
• Required shifts: Must work all scheduled shifts. Facility cannot accommodate scheduling requests outside approved RTO.
• Weekends: Every other weekend required; travelers are asked to be flexible.
• Block schedule: Not accepted
• On-call: Not required
• Manager preference: Prefers to avoid travel pairs
• Local candidates: Accepted, with no local radius rule

Work Environment

• Unit: MS/Tele float, with the acute care float pool covering all acute care and telemetry units, including Behavioral Health and Respite
• Float scope: Will float within scope to meet facility needs
• Ratio: 1:4–5
• Shift structure: 12-hour shifts are often split into 8 hours in one area and 4 hours in another. Good time management skills are needed.
• Facility: Magnet, teaching, Level I trauma; 500 staffed beds
• Scrubs: Any solid color; light blue scrubs provided on unit
• Parking: Onsite parking is paid. An offsite garage with shuttle service (5 am–10 pm, weekdays only) is also available.

Onboarding and Compliance

• Background checks:

  • 7-year criminal background check within 45 days of start
  • Sex offender search, EPLS/GSA/SAM, HHS/OIG
  • Washington WATCH search
  • Transcript or diploma if education cannot be verified
• Health requirements:

  • Physical exam within 1 year before start
  • TB test (IGRA or 2-step PPD) within 90 days of start, with annual TB questionnaire
  • Tdap within 10 years
  • Measles, mumps, rubella, and varicella: titer, 2 documented vaccines, or declination
  • Hepatitis B: positive titer or full vaccine series, plus declination
  • Drug screen within 12 months
  • Mask fit test within 12 months (acceptable masks: 3M 1860R, 1860S, or 1870+)
  • Flu vaccine or declination through the employee health portal (flu season 9/29–3/31)
  • COVID vaccination or declination for tracking
• Licensing:

  • Out-of-state multistate license holders working in Washington must complete 6 hours of suicide prevention training before starting
  • Washington license complaint clearance required for Washington state license holders (not required for compact licenses)
• Other documents:

  • 2 professional references
  • Badge photo (professional, plain background, no hats or face coverings)
  • Signed facility forms, including license acknowledgment, equipment safety, policies, code of conduct, job description, and personal data form
  • Annual stroke education modules for floats, completed through the facility LMS
• Orientation:

  • Modules (about 2–3 hours) must be completed by the Thursday before start
  • Adult medication test (required for all RN units)
  • Orientation testing is not pass/fail