Med Surg / Telemetry RN
Charleston, West Virginia
Charleston Area Medical Center Memorial Hospital

4W Medical Surgical / Telemetry RN (MS/Tele)

Overview

• Location: Charleston, West Virginia
• Employment type: Travel/Contract
• Contract length: 13 weeks
• Unit: 4W, 39 beds
• Patient mix: Half inpatient, half observation on average, with a high turnaround observation unit (36 hours or less). Adult and geriatric populations.
• Facility: Short-term acute care, Level IV Trauma Center, major teaching hospital, 838 staffed beds
• Scrub color: Royal Blue/White (RN)
• Parking: Free for travelers

Schedule

• Shift: Day, 4x12 hours, 7:00 AM to 7:00 PM (3x12 or 4x12 days, 7A-7P)
• Days: Weekdays, every other weekend, and float
• Hours: 48 hours per week, with 36 hours guaranteed
• Orientation: Two days (Thursday and Friday), held every other week
• Float: Can be floated within scope if needed
• Ratios: 1:5. When a staff member calls in sick or leaves, the ratio may go to 6:7 to 1. In that case, the RN has 5 of their own patients plus 1 or 2 LPN patients.
• Time off: Manager cannot guarantee blocked schedule requests. Holiday time-off requests are limited to no more than 1 of the 3 major holidays. No other time-off restrictions; discuss with the manager during the interview.
• Radius rule: Candidates within 100 miles can be submitted. Candidates 75-99 miles away can be sent for facility approval.

Experience and Clinical Focus

• Patient conditions: Acute MI, unstable angina, CHF, unstable arrhythmias, cardiac disorders, and CVA surgical patients
• Post cardiac cath, post angiogram, or PTCA experience: Required
• Cardioversion, TEE, thoracentesis, bone marrow biopsy, chest tube insertion, central line insertion, and paracentesis experience: Preferred but not required
• Drips: Heparin, Cardizem, amiodarone, dobutamine, dopamine, and nitro. Working proficiency is required.
• First-time travelers: Accepted if experience requirements are met

Required Qualifications

• Valid RN license in West Virginia
• Med Surg / Telemetry experience (1 year), with experience within the last year
• BLS
• Associate of Science in Nursing (ASN) / Associate Degree in Nursing (ADN)
• Experience working with Surgical patients
• Experience working with Adult patients
• Experience working with Geriatric patients
• Experience working with Post Cardiac Cath patients
• Post Angiogram experience
• PTCA experience
• Experience with cardiac or critical care drips
• Valid driver's license

Competencies and Testing

• Pass/fail testing (required for nursing): EKG exam, medication calculation exam, and blood administration test. Two attempts per exam. Completed as part of inservice training and due by the document due date.
• Medication test/pharmacology competency exam: Required for nursing. Up to 3 attempts without approval.
• Competency exam: Required. Up to 3 attempts without approval.
• Color blindness test: Required before start. Completed exams on file are acceptable.
• Skills checklist: Annual specialty skills checklist required, showing true skills.
• Inservice training: Complete all required modules at least 1 week before start (about 4 hours). Submit a transcript or certificate of completion before start. Returning candidates do not need to redo unexpired modules.
• Required reviews (review only, nothing to turn in): Blood administration policy, RN/LPN math calculation packet, and EKG review packet
• Dress code policy and time and attendance forms: Must be reviewed and returned. Gaps longer than 6 months require re-signing.

Health and Immunizations

• Physical: Within 1 year of start and updated annually. Must be signed by a physician, DO, MD, NP, or PA, and must state the candidate is in good health, free from communicable diseases, and has no physical limitations to perform job duties.
• TB: Negative TB test within 3 months of start. Two-step skin test is acceptable if both steps are completed within 2 weeks of each other. QuantiFERON Gold or T-SPOT is preferred. Annual TB questionnaire required. Positive responders need a negative chest X-ray within 1 year of start.
• Flu vaccine: Required during flu season (October 1 to March 31). Vaccine or approved medical or religious exemption required. Declinations are not accepted. All working candidates must be compliant by the facility deadline. Flu receipts must show medication name, lot number, and administrator signature.
• COVID vaccine: Not required
• Tdap: Required (given after age 11). Does not need renewal.
• Measles (rubeola), mumps, and varicella: 2 vaccines or positive titers required. Negative or equivocal titers require 2 boosters at least 28 days apart. Rubella requires 2 vaccines or positive titers, or 1 booster if negative or equivocal.
• Hepatitis B: Positive HBsAb titer required. Candidates with a negative titer can sign a declination.
• Drug screen: Within 30 days of start and updated annually. Must include amphetamines, barbiturates, cocaine, opiates, phencyclidine, benzodiazepines, methadone, and propoxyphene. No placeholders or pending clearances.
• Fit testing: Annual. Accepted masks are 3M N95 1860 Small or Regular and Aura 9205. Onsite testing may be arranged as a last resort. PAPR accommodation is available if a candidate fails fit testing.
• Latex: Most products are latex-free. Candidates with a latex allergy must notify their manager.

Background and Compliance

• Criminal background check: 7-year check within 30 days of start. A new check is required after a break in service of 30 days or more.
• Exclusion checks (SAM and HHS/OIG): Must be completed independently within 30 days of start and updated annually. These are not accepted as part of the background check.
• Sex offender search: Within 30 days of start and updated annually
• License verification: Primary source verification within 30 days of start. Nursys verification within 30 days of start.
• References: 2 manager or charge nurse references from the past 2 years (min. 2 required)
• Application documents: State license, CV, board certification, ACLS/BLS, and NPI must be on file before the application is released.
• Forms: Delegate form, state liability form, and state time gap form

Submission Requirements

• Single PDF must include: Candidate profile (work history), specialty skills checklist, 2 manager or charge references, RN license verification (clean license required; hits are reviewed case by case), driver's license, and Social Security card
• Former employees: Permanent employees cannot return as travelers for 2 years after their last day worked as permanent staff.
• Sex offender search note: Processed by the client request team within 30 days of start