MS/Tele RN
Winston-Salem, NC
Care Career
4x12 hrs, Nights
Referral Bonus

Job Breakdown – Cardiac Telemetry RN

Specialty: Cardiac Telemetry / Stepdown
Shift: Nights, 6:45 PM – 7:15 AM
Schedule: 4×12-hour shifts per week
Guaranteed Hours: Confirm whether 36 or 48 hours will be offered
Contract Duration: 13 weeks or longer, with an end date through 02/27/2027
Start Date: 11/09/2026
Patient Ratio: 1:6
Average Daily Census: 23
Charting: Epic
Unit Systems: Pyxis, Epic, SBAR
Orientation: 3 days (first day Epic training, next 2 days on the unit)

Required Qualifications

• Minimum 2 years of nursing experience.
• Must have cardiac telemetry experience.
• First-time travelers are accepted.
• IV starts and telemetry experience.
• Ability to interpret and manage cardiac dysrhythmias.
• Certifications: ACLS, BLS/BCLS, and NIHSS are listed; confirm whether NIHSS is mandatory because the initial requirements list ACLS, BCLS, and NIH.
• EKG testing is required before starting.

Preferred: Stepdown, PCU, DOU, or IMC experience and Epic charting experience.

Patient Population & Clinical Skills

Adult patients with:

• Cardiac arrhythmias, MI, and acute coronary syndrome (ACS).
• Heart failure and uncontrolled diabetes/DKA.
• Post-cardiac catheterization patients.
• Post-pacemaker (PPM) and implantable cardioverter-defibrillator (ICD) patients.

Required clinical skills include:

• Telemetry monitoring and dysrhythmia management.
• Cardiac drip management.
• Central and peripheral line care.
• Blood product administration.
• Isolation precautions and PPE.
• Oxygen delivery and non-invasive airway management.
• Rapid response and code team support.

Important: Cardiac drips are used, but blood pressure titration is not performed. The description also lists cardiac/vasoactive drip titration skills, so confirm the exact titration expectations with the facility.

Schedule & Unit Expectations

• 8 weekend shifts per contract.
• Floating is required within or near the facility.
• No charge nurses on the unit; strong teamwork and independence are essential.
• High-acuity patients with a 1:6 ratio.
• Scrubs: navy or white.
• Self-scheduling is listed.
• Must work 2 of the 3 major holidays.

Time-Off Policy — Important

• Maximum 7 days of RTO for auto-approval, excluding holidays.
• No RTO during the first week.
• All RTO must be requested and approved before booking.
• No additional RTO after signing.
• RTO cannot be worked out onsite. Additional call-offs or RTO may lead to cancellation and DNR.
• One pre-approved time-off entry is referenced; confirm the facility's exact RTO approval process.

License & Compliance

• North Carolina or Compact RN license pending is accepted at submission.
• Candidates must report to the lab within 48 hours of signing, and all required testing must be completed within 48 hours.
• Pre-start acute-care modules take approximately 8–10 hours and are non-billable; they must be completed before starting.
• References may be pending at submission.
• Former Novant/New Hanover employees (permanent, PRN, or employee pool) must wait 12 months before applying. Disclose hospital name and employment dates for facility approval.
• Current travel/per diem clinicians must choose between travel and per diem status.
• Local candidates within 50 miles receive a lower rate.
• Travel pairs are permitted if assigned to different units and disclosed.

COVID & Flu Requirements

• COVID-19 vaccine: Not required.
• Flu vaccine: Required; medical or religious exemptions only.

Best Candidate Profile

A cardiac telemetry RN with at least 2 years of experience, strong rhythm interpretation and management skills, cardiac drip experience, and the ability to care for high-acuity patients at a 1:6 ratio. First-time travelers are welcome, but candidates must be comfortable floating and working nights, weekends, and required holidays.

Confirm Before Submission

1. Whether the assignment guarantees 36 or 48 hours per week.
2. Exact facility name and location.
3. Whether NIHSS is mandatory.
4. Whether cardiac drip titration is expected, given the conflicting skill requirements.
5. Exact contract start date and end date.
6. Weekly pay and local rate.
7. RTO approval and holiday scheduling details.