Travel Nurse RN - Med Surg / Telemetry
Johnson City, TN
Prime Staffing
4x12 hrs, Days, Nights

Registered Nurse (RN) – PCU / Med-Surg Telemetry
 

Location: Johnson City, TN 37604
Facility Address: 400 N State of Franklin Rd, Johnson City, TN 37604-6035
Shift: Night | 4x12 Hours (6:30 PM – 7:00 AM)
 

Job Summary

We are seeking an experienced Registered Nurse (RN) for a Hybrid PCU/Med-Surg Telemetry unit at Ballad Health. This position requires an RN who is comfortable caring for both Progressive Care Unit (PCU) and Med-Surg Telemetry patients.

Important: The unit operates with a 1:7 patient ratio. Candidates should only be submitted if they are comfortable working with this assignment ratio.

The ideal candidate will have strong PCU experience, telemetry skills, and the ability to manage a wide range of adult medical, surgical, cardiac, neurological, and orthopedic patients.
 

Schedule Options

Available scheduling options:

• 36/36
• 36/48
• 48/48

Additional schedule details:

• Night Shift: 6:30 PM – 7:00 AM
• No call required
• Rotating weekends required
• Block scheduling is not available

Minimum Qualifications

• Minimum 2 years of RN experience
• Hard Stop Requirement: Must have at least 1 year of PCU experience documented within the past 2 years
• Must have experience in both:
  • PCU/Stepdown level of care
  • Med-Surg Telemetry
• First-time travelers accepted
• Level I Trauma experience preferred for first-time travelers
• Teaching hospital experience preferred

Required Certifications

• BLS – AHA Required
• ACLS – Preferred/Required per facility preference
• NIHSS – Preferred

Required Clinical Skills

PCU / Telemetry Experience

• Progressive Care Unit (PCU)
• Med-Surg Telemetry
• Stepdown/Intermediate Care
• Telemetry monitoring
• Remote telemetry monitoring
• Interpretation of dysrhythmias
• Management of dysrhythmias
• Rapid Response / Code Team experience

Cardiac Experience

• Post Cardiac Angiogram Care
• Post MI Care
• Pre/Post Cardiac Surgery Care
• Cardiac monitoring

Respiratory Skills

• BiPAP/CPAP Management
• High Flow Nasal Cannula (HFNC)
• Oxygen Administration
• Non-invasive airway management
• Nasal Cannula oxygen therapy
• Oxygen tank management
• Oral suctioning experience preferred
• Tracheostomy care/management preferred
• Chest tube management preferred

Neurological Experience

• CVA (Stroke) Care
• Pre/Post Neurosurgery Care
• Spinal Cord Injury Care
• Traumatic Brain Injury Care

Orthopedic Experience

• Ortho Trauma
• Total Joint Replacement
• Peripheral Nerve Block Catheters

Renal & IV Therapy Skills

• Renal Failure Management
• Pre/Post Hemodialysis Management
• Central Line Care and Management
• PICC Line Management
• Peripheral Line Care
• Starting and Maintaining IVs
• Blood Product Administration
• Phlebotomy

Medication & Other Skills

• Heparin Protocols
• PCA Management
• IV Insulin Protocols
• Isolation Precautions/PPE
• Wound Care/Wound Vac
• Feeding Tube Care and Management
• Colostomy/Ileostomy Care
• Surgical Drain Management

Preferred Experience

• Telemetry experience
• Pre/Post Thoracic Surgery experience
• Oral suctioning experience
• Previous Charge Nurse experience

Patient Population

• Adult patients
• Hybrid PCU/Med-Surg Telemetry population
• Average unit census: 17
• Unit beds: 19

Patient Ratios

• PCU: 1:5
• Med-Surg Tele: 1:7
• Overall assignment may be up to 1:7

Unit Environment

• Unit Type: Hybrid PCU / Med-Surg Telemetry
• Charting System: Epic (preferred)
• High-acuity medical and surgical patient care
• Interdisciplinary support includes:
  • IV Team
  • Physical Therapy
  • Respiratory Therapy
  • Interpretation Services
  • Phlebotomy
  • Radiology
  • Social Services
  • Rapid Response Teams
  • Pharmacy
  • Transportation
  • Unit Secretary

Notes

Candidates must have:

• Minimum 2 years RN experience
• At least 1 year of PCU experience documented within the past 2 years
• Ability to work Hybrid PCU/Med-Surg Tele assignments
• Comfort working with 1:7 ratios
• Telemetry experience preferred
• AHA BLS certification
• Ability to work rotating weekends
• Ability to work 36/36, 36/48, or 48/48 scheduling options

Strong candidates will have experience with:

• PCU/Stepdown
• Med-Surg Tele
• Cardiac monitoring
• Respiratory management
• Neuro patients
• Orthopedic trauma
• Renal patients
• Complex medical-surgical care