IMC RN
Hagerstown, MD
HonorVet Technologies
4x12 hrs, Nights
Referral Bonus

Registered Nurse – Intermediate Care (IMC) / Float Pool

Facility: Meritus Medical Center
Location: Hagerstown, MD
Start Date: 08/24/2026
Duration: 13 Weeks
Shift: Night 4x12-Hour (18:30 - 07:00)
Schedule: Every Other Weekend Coverage Required (12 Weekend Shifts Per Contract)
Charting System: Epic
Float Required: Yes – Float between Med/Surg, IMC, Observation, Trauma Surgical, Joint, Stroke, Palliative & Renal, ED Inpatient, Women’s and Bariatric Surgery units
Call Requirement: None

Position Overview:
The Registered Nurse will provide comprehensive care to adult and geriatric patients in the Intermediate Care (IMC), Progressive Care, and Med/Surg Telemetry Float Pool. The RN will manage complex patients requiring close monitoring, cardiac telemetry, respiratory support, post-operative care, and management of high-acuity medical conditions including cardiac, neurological, renal, and trauma-related diagnoses.

Job Duties:

• Provide direct nursing care for IMC, PCU, and Med/Surg Telemetry patients with complex medical conditions.
• Perform comprehensive patient assessments, monitor changes in condition, and initiate appropriate clinical interventions.
• Monitor and interpret cardiac rhythms, manage dysrhythmias, and respond to rapid response situations.
• Care for patients with acute respiratory distress, septic shock, hypertensive crisis, CHF exacerbation, MI, NSTEMI, unstable angina, and trauma-related conditions.
• Manage cardiac monitoring, cardiac drips (non-titrating), insulin drips, and vasoactive medication protocols as ordered.
• Provide ventilator, tracheostomy, BiPAP/CPAP, and high-flow nasal cannula management.
• Perform neurological assessments and care for stroke, seizure, traumatic brain injury, intracranial bleed, and post-neurosurgical patients.
• Manage central lines, PICC lines, midlines, peripheral IVs, blood transfusions, TPN, feeding tubes, and wound care.
• Provide post-cardiac catheterization care including TR Band management and post-MI monitoring.
• Administer medications, IV therapies, anticoagulation therapy, thrombolytic agents, and patient-specific treatment plans.
• Collaborate with physicians, respiratory therapy, pharmacy, rehabilitation services, and interdisciplinary teams to coordinate patient care.
• Educate patients and families regarding treatment plans, medications, and discharge instructions.

Requirements:

Licensure: Active RN License (State-specific license required)

Experience:. Minimum 2 years of IMC/PCU/Stepdown experience required (Hard Stop).

Certifications: BLS, ACLS & NIHSS

Other Requirement: Must have experience managing cardiac monitoring, telemetry patients, ventilators/tracheostomy care, blood transfusions, TPN, feeding tubes, and complex IMC-level patients.

Unit Details:

Unit: Intermediate Care (IMC) / Med-Surg Telemetry Float Pool

Patient Ratios: 1:4-6

Patient Population: Adults and Geriatrics

Patient Diagnoses:

• Acute respiratory distress
• Septic shock
• Hypertensive crisis
• Congestive heart failure
• Myocardial infarction (MI/NSTEMI/STEMI)
• Unstable angina
• Cardiac and medical-surgical patients
• Stroke and neurological patients
• Trauma patients
• DKA patients
• Chronic tracheostomy and ventilator patients
• Post ICU/STICU recovery patients
• Renal and palliative care patients