Med Surg/Telemetry Float RN
Quincy, Illinois
Blessing Hospital

Job Opportunity: Med Surg/Telemetry RN

Location: Quincy, Illinois
Contract Length: 13 weeks

Position Overview

Seeking a Med Surg Float RN for a 13-week contract at a hospital in Illinois. The unit is Med Surg/Telemetry, inpatient surgical on the 3rd floor with 48 beds across two buildings.

Unit Details

• Nurse-to-Patient Ratios:

  • Days: 1:4-6
  • Nights: 1:5-6
• LPNs available
• Virtual admission and discharge nurses assist
• Primary care nursing model frequently used (must be comfortable with this)

Required Certifications

• BLS (AHA)
• NIHSS

Patient Population / Common Diagnoses

• Neuro surgeries: laminectomy, cervical fusion
• LESI (Lumbar Epidural Steroid Injection)
• Abdominal surgeries: ostomies, hernia repair
• Joint replacements: total hips/knees
• Vascular: fem-pop bypass
• Dialysis catheter insertions (dialysis unit located on the same floor)
• Amputations: BKA, AKA
• Chronic conditions: diabetes mellitus, sepsis, chronic pain management (narcotics)
• Other: PICC lines, TPN, lipids, PCA pumps, epidurals, IV antibiotics, urgent OR cases

Experience Requirements

• Minimum 1 year surgical experience required
• Must have total joint replacement experience
• Understanding of PCA pumps, reversal drugs (Narcan), sepsis management
• Experience with TPN and lipids
• Familiarity with narcotic usage

Clinical Responsibilities

• RN required to titrate heparin drips per protocol
• RNs interpret telemetry strips (Draeger monitors)
• Tele/Monitor techs present on unit
• Charge nurse usually takes a smaller patient assignment to assist
• Nurse aides available but may be pulled for sitter duties, especially on night shift
• Respiratory therapy manages CPAP, BiPAP (occasionally), Airvo, and ventilators

Scheduling & Shifts

• 3 shifts of 12 hours each, starting at 7 AM
• No guaranteed block scheduling; schedules posted 6 weeks in advance
• Weekend requirement: every other weekend (Saturday and Sunday)
• Holiday rotation with core staff
• No call or standby requirements

Floating & Orientation

• Float only to like units; if floated to higher acuity, work as support without patient load
• Orientation: 1 shift (12 hours) on unit of hire plus a first day of 12-14 hours for competencies and general orientation

Additional Information

• Fast-paced environment with heavy patient load
• Can admit 8-12 surgical patients per day and discharge patients simultaneously
• Night shifts are 12 hours
• Dress code: black scrubs

Job Title: Registered Nurse (RN) – Med Surg/Telemetry Float