Travel Nurse RN - Intermediate Care
Springfield, MA
Genie Healthcare
3x12 hrs, Nights

Job Description: Registered Nurse (RN) – Intermediate Care / Cardiac Telemetry

Facility: Baystate Capital Projects
Location: 271 Carew Street, Springfield, MA

Shift Details

• Primary Shift: 7:00 PM – 7:00 AM (Night Shift)
• Schedule: 12-hour shifts
• Weekend Coverage: Required
• On-Call: Not required
• Experience: 1 year preferred
• Certifications: BLS and ACLS required

Unit Overview

The Cardiac Telemetry/Intermediate Care Unit consists of 20 beds per telemetry unit and provides care for adult patients requiring continuous cardiac monitoring, management of acute and chronic cardiac conditions, and treatment of complex medical and cardiovascular illnesses. Patients may be admitted from the Emergency Department, transferred from the ICU after stabilization, or admitted for ongoing inpatient medical management.

Patient Population

The unit cares for patients with conditions including:

• Acute Coronary Syndrome (ACS) and chest pain
• Cardiac arrhythmias and second- or third-degree AV block
• Congestive Heart Failure (CHF)
• Acute respiratory failure
• Ischemic or hemorrhagic stroke not requiring fibrinolytic therapy
• Pulmonary embolism
• Drug overdose and acute alcohol withdrawal
• Severe electrolyte imbalances and syncope
• Patients requiring continuous cardiac monitoring and post-procedure observation

Medications & IV Therapies

Nurses may administer and manage:

• Antiarrhythmics and rate-control medications
• Antihypertensives, vasodilators, and antianginal medications
• Anticoagulants and antiplatelet agents
• Diuretics and heart failure medications
• Potassium and magnesium replacement
• Insulin, antibiotics, and maintenance IV fluids
• Heparin, amiodarone, diltiazem, dobutamine, nitroglycerin, and other indicated infusions

All high-alert medications and continuous infusions must be managed according to hospital policies, including appropriate assessments, dosage verification, and monitoring.

Key Responsibilities

• Provide direct nursing care to adult intermediate-care and cardiac telemetry patients.
• Continuously monitor cardiac rhythms and identify clinically significant abnormalities, including atrial fibrillation, tachyarrhythmias, and bradycardia.
• Perform cardiac assessments every 4 hours and as needed.
• Conduct telemetry surveillance every 4 hours and as needed.
• Monitor vital signs, oxygenation, and hemodynamic status.
• Administer medications and manage IV infusions safely.
• Recognize signs of clinical deterioration and promptly escalate care.
• Manage patients with chest pain, heart failure, and complex cardiovascular conditions.
• Provide post-procedure monitoring when indicated.
• Implement fall prevention and other patient safety measures.
• Educate patients and families regarding diagnoses, medications, treatment plans, and discharge instructions.
• Collaborate with physicians and interdisciplinary healthcare teams to coordinate patient care.
• Participate in discharge planning and ensure accurate clinical documentation.
• Delegate appropriate tasks to patient care technicians and collaborate with unit secretaries to support efficient unit operations.

Staffing & Unit Operations

Registered nurses are responsible for direct patient care, cardiac assessments, telemetry monitoring, medication administration, care coordination, and patient/family education. Patient care technicians assist with activities of daily living, vital signs, mobility, toileting, and other delegated tasks. Unit secretaries support communication, coordination, and administrative activities.

Required Qualifications

• Active RN license appropriate for practice in Massachusetts.
• Current BLS and ACLS certifications.
• One year of nursing experience preferred, ideally in cardiac telemetry, intermediate care, or acute care.
• Ability to interpret cardiac rhythms, manage IV therapies, recognize changes in patient condition, and provide safe, evidence-based nursing care.