Cardiac Telemetry Registered Nurse
Salisbury, North Carolina
Novant Health Rowan Medical Center

Job Opportunity: Registered Nurse - Cardiac Telemetry

Location

• Salisbury, North Carolina

Employment Type

• Travel/Contract

Contract Length

• 13 weeks

Shift and Hours

• Night shift: 18:45 - 07:15 (12-hour shifts)
• 36 hours per week

Unit and Patient Population

• Primary cardiac and stroke unit
• Care for stable pre/post procedure cardiac patients including pacemaker implantation, implanted cardioverter/defibrillators, cardiac catheterization, and post uncomplicated interventional peripheral vascular/cardiac interventions without sheaths
• Patients with diagnoses such as unstable angina, low risk chest pain, congestive heart failure (CHF), dysrhythmias, new cerebrovascular accident (CVA), and transient ischemic attack (TIA)
• Unit currently includes a COVID-positive side with patients on opti-flow and chronic BIPAP (no new BIPAP initiation)
• Fast-paced environment with high patient turnover (78 to 90 patients per week)
• Target nurse-to-patient ratios: 1:5-6 (nurses must be comfortable managing up to 6 patients during surge)

Required Skills and Experience

• Minimum 2 years of nursing experience in a similar high-acuity setting with experience managing patient ratios and acuity
• IV start and telemetry monitoring skills
• Experience with cardiac drips (e.g., Cardizem, Dopamine, Amiodarone)
• Comfortable managing pre and post procedure cardiac patients and multiple drips

Certifications Required

• ACLS (Advanced Cardiac Life Support)
• BCLS (Basic Cardiac Life Support)
• NIH Stroke Certification

Licensure

• Must hold a valid Registered Nurse (RN) license for North Carolina

Traveler Experience

• Prior travel experience is not required; first-time travelers are welcome

Job Requirements and Expectations

• Call requirement: Yes, frequency depends on patient census
• Float requirement: Yes
• Weekend requirement: Every other weekend plus 2 Mondays and 2 Fridays in a 6-week period
• No Return to Office (RTO) after booking allowed; call-offs or additional RTO may result in cancellation
• Self-scheduling with leadership oversight; no block scheduling allowed
• Must pass EKG competency testing prior to start
• Orientation: 36 hours, must be available every day during the first week for hospital orientation
• Dress code: Navy blue or white scrubs (or a mixture), jackets matching uniform material and color, no crocs with holes

Unit Systems

• Pyxis medication system
• EPIC Dimensions for documentation and communication
• SBAR communication method

Special Equipment

• Telemetry monitors
• Pulse oximetry
• High flow oxygen (stable patients only)
• Non-rebreather mask (only for palliative care)
• BIPAP (only for chronic use, no new BIPAP initiation)

Patient Care Notes

• No unstable oxygenation with BIPAP or non-rebreather mask
• Respiratory rate must be below 35
• Oxygen saturation must be stable

Orientation and Testing

• Must complete a Dysrhythmia/EKG competency exam within 72 hours of start (minimum passing score 82%)
• Medication/pharmacology competency exams required for new contracts
• Color blindness testing required within 1 year prior to start
• Must complete facility-specific orientation and safety training

Required Documentation and Compliance

• Background check within 6 months for clinical candidates
• Drug screening within 6 months of start
• Negative TB test or chest X-ray within 1 year (or proof of past positive TB with appropriate documentation)
• Immunizations: Measles, Mumps, Rubella, Varicella, Hepatitis B (per facility and Aya Healthcare standards)
• Physical exam (per Aya Healthcare standards)
• Flu vaccination or approved exemption required during flu season
• Photo for badge (passport style, business attire, white background)
• Completion of facility-specific education modules and compliance training
• Signed confidentiality and hospital policy acknowledgment forms

Requirements / Qualifications

• Valid Registered Nurse (RN) license in North Carolina
• Telemetry experience with a minimum of 2 years, including telemetry experience within the last year
• ACLS certification
• BLS certification issued by the American Heart Association or American Red Cross
• NIH Stroke Scale (NIHSS) certification
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
• Experience managing patient ratios and acuity in a challenging and very busy unit
• Comfortable managing up to 6 patients during surge situations