Registered Nurse MS/Telemetry - Neuro & Stroke
Columbia, South Carolina
Palmetto Health Richland

Registered Nurse (MS/Telemetry - Neuro & Stroke)

Location: Columbia, South Carolina
Employment Type: Travel/Contract
Contract Length: 13 weeks

Job Summary

• Provide nursing care for adult patients with embolic and hemorrhagic strokes, seizures, neurosurgical cases (including shunt revisions, tumor removals, craniotomies/cranioplasties).
• Stroke care follows American Heart Association guidelines for Comprehensive Stroke Center designation.
• Patient ratio: 1 nurse to 4-5 patients.
• Night shift: 3 shifts per week, 12 hours each (7:00 PM to 7:30 AM).
• Weekend work required every other weekend.
• Floating to other units or campuses may be required, limited to areas where qualified and competent.

Requirements/Qualifications

• Valid Registered Nurse (RN) license in South Carolina
• Minimum 1 year of Med Surg / Telemetry nursing experience within the last year
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
• ACLS certification issued by American Heart Association or American Red Cross
• BLS certification issued by American Heart Association or American Red Cross
• NIH Stroke Scale (NIHSS) certification
• Experience with Epic electronic health record system

Required Clinical Skills

• Starting IVs, accessing ports, managing PICC and central lines, peripheral IV care, blood product administration, PCA and heparin protocols.
• High Flow Nasal Cannula (HFNC), nasal cannula, tracheostomy management.
• Telemetry monitoring, dysrhythmia interpretation and management, Rapid Response Team participation.
• Care for cerebrovascular accidents (CVA), spinal cord injury, traumatic brain injury, pre/post neurosurgery care.
• Continuous bladder irrigation, isolation precautions, surgical drain management, feeding tube care.

Licensure

• Active Registered Nurse license valid in South Carolina or a multistate compact license.
• Pending licenses are not accepted.

Scheduling and Policies

• Shift: Night (3x12 hours).
• Weekend requirement: Every other weekend.
• Facility may call off 1 shift per 2 weeks.
• All scheduling requests must be submitted and approved at booking.
• Locals accepted within radius rule criteria.

Compliance and Onboarding Requirements

• Driver’s license/state ID required for computer access and must be carried on duty.
• Background check: 7-year history within 12 months of start, including multiple state and county searches, sex offender, FACIS III, and international searches if applicable.
• E-Verify or attestation required.
• EPLS/GSA/SAM and HHS/OIG checks required within 30 days of start and every 30 days thereafter.
• Physical exam within 1 year attesting ability to meet physical demands.
• Drug screening within 1 year, updated annually (5-panel minimum).
• Immunizations and health documents required:

  • Tetanus/Diphtheria/Tdap (if working in high-risk areas)
  • Negative TB test or chest X-ray within 90 days of start
  • Rubeola (Measles), Mumps, Rubella, Varicella: positive titer or 2 vaccines (second vaccine can be pending with timeline)
  • Hepatitis B vaccination series, positive titer, or signed declination
  • Seasonal flu vaccine or approved exemption (not required for remote workers)
• Respirator fit test completed onsite during orientation.
• Badge photo required with specific guidelines (passport style, plain background, no obstructions).
• Online orientation modules must be completed within 72 hours of assignment; no exceptions.
• Pre-assignment testing (medication and arrhythmia tests) required within 72 hours of receiving login; two attempts allowed.

Additional Notes

• Floating policy must be signed and renewed annually.
• Medication and pharmacology competency exams required annually.
• Core training (Parts I, II, III) including OSHA, patient safety, and ethical care must be current and updated annually.
• Pass/fail testing for EKG and medication required for telemetry and related units.
• Candidates must comply with all facility-specific policies and documentation requirements prior to start.

This position offers an opportunity to work in a Level I Adult and Level II Pediatric Trauma Center with advanced specialty programs in cardiac care, stroke, and vascular services.