Registered Nurse - Medical Telemetry
Hannibal, Missouri
Hannibal Regional Hospital

Registered Nurse - Medical Telemetry

Location: Hannibal, Missouri
Employment Type: Travel/Contract
Contract Length: 13 weeks

Job Details

• Unit: Medical Telemetry
• Specialty: Medical-Surgical / Telemetry
• Shift: 3 shifts of 12 hours (7 PM - 7 AM), every other weekend rotation
• Schedule: Blocked scheduling possible (discuss with manager)
• Local Candidates: Not accepted (60-mile radius rule)
• Charting System: EPIC
• Weekend/On Call: Every other weekend may be required
• First Time Traveler: Yes, acceptable
• Scrub Color: Black

Patient Population & Care

• Routine nursing care with RN to patient ratio of 5:1
• Patients requiring nursing assessment and vital signs every 8 hours
• Cardiac monitoring for hemodynamically stable dysrhythmias
• Care for patients with non-STEMI or unstable coronary syndrome post-resolution of chest pain
• Pre- and post-operative telemetry patients not requiring ICU
• Infectious disease patients requiring negative airflow isolation
• STEMI patients stable after 12-24 hours ICU monitoring
• Post-PTCA patients without STEMI or instability
• Suspected pacemaker malfunction and post-procedural observation (pacer, defibrillator, ablation)
• Stable patients transferred from ICU, Stepdown, or Emergency Department

Treatments & Procedures

• Routine finger stick blood sugar monitoring
• Stable cardiac or vasoactive drips/IV meds with titration up to 90 minutes (e.g., Diltiazem drip/IVP, Metoprolol)
• Special care includes multiple blood transfusions or fluid boluses within 12 hours
• Physician-performed procedures on unit include thoracentesis, paracentesis, central line insertion, bone marrow aspiration, chest tube insertion

Required Skills

• IV Start
• Telemetry monitoring

Required Certifications & Licenses

• Missouri State RN License or Compact RN License
• ACLS (AHA)
• BLS (AHA)
• NIH Stroke Certification (required and must be updated annually)

Requirements / Qualifications

• Valid RN license in Missouri
• Minimum 1 year of Medical-Surgical / Telemetry nursing experience within the last year
• ACLS certification issued by the American Heart Association
• BLS certification issued by the American Heart Association
• NIH Stroke Scale (NIHSS) certification
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
• Experience with EPIC electronic health record system

Required Experience

• Minimum 13 weeks contract length
• Prior travel experience not required

Additional Requirements

• Background check within 30 days of start, including social security trace, county searches, nationwide search, sex offender, education verification
• E-Verify, EPLS/GSA/SAM, and OIG checks required within 90 days of start
• Education verification required
• Physical exam within 12 months of start
• Negative TB test or chest X-ray within 1 year (annual updates required)
• Immunizations: MMR, Hepatitis B, Varicella, Tdap (with declination or exemption forms accepted)
• 7-panel drug screen within 45 days of start
• Flu vaccine or approved medical/religious exemption required during flu season (9/1 - 3/31)
• References from at least 2 recent prior employers
• Employment application and skills checklist required

Notes

• Candidates may request religious or medical exemptions for COVID-19 and influenza vaccines; exemptions require facility-specific forms and may include weekly testing and mask requirements
• Modules and orientation will be completed during onboarding
• Photo for badge required prior to start date

This position offers an opportunity to work in a telemetry unit caring for medically complex cardiac patients in a stable, non-ICU setting with a supportive nurse-to-patient ratio. The role requires strong telemetry skills, ACLS certification, and the ability to work night shifts with weekend rotations.