Medical-Surgical Telemetry RN
York, Pennsylvania
WellSpan York Hospital

Registered Nurse (MS/Tele) - York, Pennsylvania

Employment Type: Per Diem
Contract Length: 13 weeks (approximately 3 months)
Shift: 12-hour shifts, 1900-0730
Patient Ratio: 1:6 (may vary, max 1:7)
Age Group: Adults, Geriatrics
Charting System: EPIC (experience required)
Medication System: Pyxis
Dress Code: Navy blue scrubs, closed-toe shoes (no Crocs)

Required Experience & Skills

• Minimum 2 years of experience in MS/Telemetry, Telemetry Oncology, or ER Holding
• Trauma Level II experience
• Epic system experience required
• Current certifications: BLS, ACLS, NIH Stroke Certification
• 1st time travelers accepted
• 2 clinical references required, including at least 1 leadership reference from assignments within the last year
• Separation period of 6 months between assignments

Preferred Experience

• Experience in Teaching Hospitals and Community Hospitals
• LTAC experience
• Trauma Level I experience

Clinical Skills Required

• Interpretation and management of dysrhythmias
• Telemetry remote monitoring
• Use of Rapid Response Teams
• Pacemakers (temporary and permanent)
• Post cardiac angiogram, MI, cardiac cath, and cardiac surgery care
• TR Band management
• Feeding tube care and management
• Continuous bladder irrigation
• Pre/post hemodialysis management
• Renal failure care
• Blood product administration
• Central line, peripheral line, and PICC line care/management
• Epidural analgesia
• Heparin protocols
• Management of cardiac and vasoactive drips (no titration)
• PCA management
• Care for CVA, lumbar drains, pre/post neurosurgery, seizure disorders, spinal cord injury, substance withdrawal, traumatic brain injury
• Chemotherapy administration
• Ortho trauma care including peripheral nerve block catheters, total joint replacements, traction
• Surgical drains and chest tubes (Emerson/Pleur-evac)
• External CPAP/BIPAP and High Flow Nasal Cannula (HFNC)
• Interpretation of ABGs
• Oxygen delivery methods including nasal cannula, oxygen face masks, portable oxygen tanks
• Non-invasive airway management and tracheostomy care
• Isolation precautions
• Wound care and wound vac management

Orientation

• 1 day of orientation scheduled based on availability

Certifications & Competencies

• BLS (Basic Life Support)
• ACLS (Advanced Cardiac Life Support)
• NIH Stroke Certification (required for MS/Tele)
• Dysrhythmia/EKG Competency Exam (pass/fail, must be updated for every new assignment)
• Other certifications as applicable (e.g., TNCC, PALS, NRP)

Background & Compliance Requirements

• 7-year criminal background check within 30 days of start, updated annually
• EPLS/GSA/SAM and HHS/OIG checks within 30 days of start
• PA FBI fingerprinting required within 1 year of start; candidate may start with results pending but must be finalized within 45 days
• Pennsylvania Child Abuse Search required within 5 years of start; candidate may start with results pending but must be finalized within 45 days
• Pennsylvania State Police PATCH search required within 1 year of start; must be finalized prior to start (cannot start with results pending)
• Education verification of highest level completed
• Negative 9-panel drug test within 1 year (Aya requirement only)
• Physical exam within 90 days of start, signed by MD, DO, PA, or NPT
• Immunizations and titers required:

  • TDAP within 10 years
  • Negative TB test (QGold or TSpot) within 90 days (PPD not accepted)
  • Measles (Rubeola), Mumps, Rubella: 2 vaccines or positive titer with boosters as needed
  • Hepatitis B: positive titer or full vaccine series (3 doses) plus declination form if applicable
  • Varicella: 2 vaccines or positive titer with boosters as needed
  • Seasonal flu vaccine or valid medical/religious exemption required during flu season
  • COVID-19 vaccine or valid exemption/declination accepted

Additional Requirements

• 2 professional references within 3 years of start
• Most recent resume/application required
• Annual skills checklist
• Facility-specific documents and agreements must be reviewed and signed (e.g., Code of Conduct, Confidentiality Agreement, Commitment to Health & Wellness)
• Agency badge and professional photo required for badge issuance
• Learning Management System (LMS) modules must be completed by due dates prior to start
• New hire orientation must be completed by the end of the first day of assignment

Prior Travel Experience

• Not required; 1st time travelers are accepted

This position is ideal for experienced Registered Nurses with telemetry and MS/Tele experience looking for per diem work in a hospital setting with a focus on cardiac and critical care skills.