Step-Down Telemetry RN
Redlands, California
Redlands Community Hospital

Registered Nurse Travel/Contract Opportunity

Location: Redlands, California
Contract Length: 13 weeks

Job Requirements & Responsibilities

• Patient Ratio: 1:3 with trachs and ventilator management required
• Cardiac Drip Management: Non-titrated drips including Amiodarone, Milrinone, Lasix, Cardizem (titrated), Dopamine, and Dobutamine
• Insulin: 3:1 preferred but not required
• Certifications Required:

  • NIH Stroke Certification
  • ACLS (AHA only)
  • BLS (AHA only)
• Experience:

  • MS/Telemetry, PCU/DOU/IMC/Stepdown units
  • Management and interpretation of dysrhythmias
  • Telemetry monitoring on the unit
  • Use of Rapid Response Teams
  • Post MI care
  • Feeding tube care and management
  • Pre/Post Hemodialysis management
  • Renal failure care
  • Accessing and managing ports, central lines, peripheral lines, PICC lines
  • Starting IVs and managing Heparin protocols
  • Managing cardiac and vasoactive drips (no titration)
  • Care of ventilated patients, tracheostomy management, chest tubes (Emerson/Pleur-evac)
  • Use of external CPAP/BIPAP, High Flow Nasal Cannula (HFNC), oxygen delivery devices
  • Interpretation of ABGs
  • Isolation precautions
  • Wound care and wound vac management
• Preferred Skills:

  • Post cardiac angiogram care
  • IV insulin protocols and titration of insulin and cardiac drips
  • Pre/Post neurosurgery care
• Float Areas: Med/Surg, Telemetry, Observation
• Weekend Requirement: Minimum 2 weekends per month (may be more)
• Orientation: 24-hour orientation provided
• Other: Navy scrubs required (not provided), no local candidates within 50 miles

Technology & Systems

• Meditech Expanse experience preferred
• Omnicell medication system
• SBAR communication

Provider Support Services

• Interpretation Services
• Lift Teams
• Pharmacy
• Phlebotomy
• Physical Therapy
• Radiology
• Rapid Response Teams
• Respiratory Services
• Social Services
• Unit Secretary
• Intensivist and Hospitalist coverage

Experience & Travel Requirements

• Specialty Experience: PCU experience with 1:3-4 ratios accepted for first-time travelers
• Prior Travel Experience: Not required; first-time travelers considered

Required Documentation & Compliance

• Valid State License (Primary source verification within 30 days of contract start)
• Background checks including SS trace, county searches (7 years), nationwide, sex offender, and international if applicable
• Drug screening (10-panel including THC) within 30 days of start
• Immunizations and titers:

  • Tetanus/Diphtheria/Tdap (within 10 years or declination)
  • Negative TB test or chest X-ray (within 90 days, updated annually)
  • Rubeola (Measles), Mumps, Rubella, Hepatitis B, Varicella titers or vaccines (within 90 days)
  • Flu vaccination or declination (required annually by 10/31)
  • COVID vaccination plus booster or approved exemption
• Fit mask testing prior to start (specific approved masks)
• Physical exam within last 12 months, updated annually
• Signed acknowledgments for safety manual, abuse reporting, confidentiality, code of conduct, drug-free workplace, and other facility-specific policies
• Professional references (2 within last 2 years) required for Vaya travelers
• Skills checklist and competency exams as applicable

Additional Notes

• 1:3 patient ratio with ventilator and trach management is mandatory
• Weekend coverage and float flexibility required
• First-time travelers with appropriate PCU experience are welcome
• Navy scrubs required (not provided)
• No local candidates within 50 miles considered

This position is ideal for experienced telemetry or stepdown nurses comfortable with complex cardiac and ventilator care, seeking a 13-week travel contract in California.