Cardiac Telemetry RN
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: Night (12-hour shifts, 18:45 – 07:15)
Hours per Week: 36 hours

Unit & Patient Care Details

• Fast-paced cardiac and stroke unit with high patient turnover (78 to 90 patients per week).
• Patient assignments typically 1:5-6; nurses must be comfortable managing up to 6 patients during surge.
• Patient population includes stable pre/post cardiac procedure patients (pacemaker implantation, ICDs, cardiac catheterization), post uncomplicated peripheral vascular/cardiac interventions, stable oxygen therapy patients (opti-flow, chronic BiPAP), unstable angina, low-risk chest pain, CHF, dysrhythmias, new CVA and TIA patients.
• Nurses will manage multiple cardiac drips such as Cardizem, Dopamine, Amiodarone.
• Unit currently includes a COVID-positive side with patients on opti-flow and acute BiPAP during surges.

Required Skills & Experience

• Valid Registered Nurse (RN) license in North Carolina.
• Minimum 2 years of telemetry nursing experience, including telemetry experience within the last year.
• Experience working with similar patient ratios and acuity, comfortable managing up to 6 patients (target ratio 1:5–6).
• Current ACLS certification.
• Current 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 as a travel nurse.

Certifications & Licenses

• Current Registered Nurse (RN) license valid in North Carolina.
• ACLS (Advanced Cardiac Life Support) certification (AHA or American Red Cross).
• BCLS (Basic Cardiac Life Support) certification (AHA or American Red Cross).
• NIH Stroke Certification (must be completed annually if required).

Scheduling & Work Requirements

• 13-week contract length.
• 12-hour night shifts, 3 shifts per week, totaling 36 hours.
• Weekend requirement: every other weekend plus 2 Mondays and 2 Fridays in a 6-week period.
• Float requirement: nurses must float to other units as needed.
• Call requirement: frequency depends on patient census.
• No block scheduling allowed.
• Self-scheduling with leadership oversight to balance unit needs.
• Return to Office (RTO) after booking is not allowed and cannot be worked out onsite; excessive call-offs or RTO may result in cancellation.

Orientation & Onboarding

• 36 hours of unit orientation required; travelers must be available every day during the first week.
• Must pass EKG/Dysrhythmia competency testing prior to start.
• Navy blue or white scrubs required; jackets must match uniform color and material.

Equipment & Systems

• Telemetry and pulse oximetry monitoring.
• Use of high flow oxygen (stable patients only), non-rebreather masks (palliative use only), and chronic BiPAP (no new BiPAP initiation).
• Unit uses Pyxis medication system, EPIC Dimensions for documentation, and SBAR communication.

Compliance & Documentation Requirements

• Background check within 6 months required for clinical candidates.
• Drug screening (9-panel) within 6 months of start.
• Negative TB test or chest X-ray within 1 year of start; additional documentation required for past positive TB.
• Required immunizations or titers: Measles (Rubeola), Mumps, Rubella, Hepatitis B, Varicella.
• Physical exam and references required per travel agency standards.
• Completion of facility-specific education modules including medication safety, confidentiality agreement, annual compliance training, and bloodborne pathogens training.
• Must complete facility onboarding including photo for badge (passport-style photo on white background, business attire).
• Must complete online competency exams including color blindness and medication/pharmacology tests as required.

Additional Notes

• Nurses should be comfortable working in a high-acuity, fast-paced environment with frequent patient turnover.
• The unit has a team lead to assist with admissions and discharges.
• COVID-positive patients are housed on a specific side of the unit during surges.
• Candidates must complete all required documentation and certifications prior to start to avoid delays.

This position is ideal for experienced RNs with cardiac telemetry skills seeking a challenging travel assignment in a busy cardiac/stroke unit.