Med/Surg Telemetry RN
Oneonta, New York
A.O. Fox Hospital

Job Opportunity: RN Medical/Surgical Telemetry

Location: Oneonta, New York
Employment Type: Travel
Contract Length: 12 weeks

Unit Overview

• Combined Medical/Surgical and Telemetry unit (2 North + Observation)
• Nurses may float between 2 North and Observation units based on staffing and patient needs

Patient Population

• Adult to older adult patients

Unit Details

• 2 North: General Med/Surg unit with up to 25 beds
• Observation Unit: 7–14 beds depending on needs

Common Diagnoses

Observation Unit:

• Acute on chronic CHF
• Hypertension
• Syncope
• Electrolyte imbalances (hypomagnesemia, hypokalemia)
• Dehydration
• Post-operative patients requiring extended observation

2 North:

• Hypertension
• Acute on chronic respiratory failure
• Pneumonia
• COPD exacerbation
• Controlled atrial fibrillation
• Hyponatremia
• Generalized weakness
• COVID
• Sepsis
• Hematuria with continuous bladder irrigation (CBI)
• Anemia
• End-of-life care
• Post-op total knee/hip replacements and other minor surgeries

Clinical Details

• Cardiac Monitoring: Basic telemetry only, monitored 24/7 by telemetry technicians
• Drips & Infusions: Heparin, magnesium, potassium, continuous IV fluids (no advanced titratable cardiac drips)
• Respiratory Support: No routine mechanical ventilation; higher-acuity respiratory care managed outside these units
• Nurse-to-Patient Ratios:

  • Observation: 1:5-6 patients (day and night)
  • 2 North: 1:5 patients (day and night), may flex to 1:6 during absences

Support & Resources

• Support aides: 3 per shift on 2 North, 1 per shift on Observation
• Unit clerk available 9am–5pm
• 24/7 respiratory therapy, phlebotomy, security
• Nurses start IVs (no designated IV team)
• Rapid response/code team assigned per shift
• Night-shift provider available for orders and floor needs
• Surgical providers on-call but rarely needed
• Pharmacy support remote after hours; most meds stocked in Pyxis
• Wound care SWAT nurse available day shift for consults

Equipment & Technology

• Continuous cardiac telemetry monitoring
• Baxter IV pumps
• EPIC electronic charting system
• Pneumatic tube system for transport

Orientation

• Starts on day shift with unit educator
• Includes glucometer competency, policy review, and floor time with preceptor
• Night-shift travelers begin day shift orientation then transition to PM shifts with preceptor

Required Qualifications

• Registered Nurse (RN) license in New York
• BLS certification
• Nursys license verification
• License/certificate verification
• Completion of core competencies, unit exam, and skills checklist
• Required immunizations and health screenings: MMR, Fit Test, Hepatitis B, Influenza vaccine, TB test, Varicella, Annual TB questionnaire, Physical/Health statement
• Driver’s License or State ID
• Professional requirements: 2 professional references, criminal background check, resume, webchecks, sex offender registry checks, education and employment verification
• Drug screen required

Experience Requirements

• Specialty: RN Medical/Surgical Telemetry
• Required years of experience: Not explicitly stated; assume minimum 1-2 years Med/Surg/Telemetry experience preferred (default to higher if conflicting info found)
• Prior travel experience: Not required

This position is ideal for RNs with Med/Surg and Telemetry experience seeking a travel assignment in a supportive hospital environment with a diverse adult patient population.