Medical Telemetry RN
Iron Mountain, Michigan
Dickinson County Healthcare System

Registered Nurse – Med Tele

Location: Iron Mountain, Michigan
Contract Length: 13 weeks
Shift: 12-hour shifts, rotating day (7:00 AM–7:00 PM) and night (7:00 PM–7:00 AM)
Hours per Week: 48
Unit Type: Medical Telemetry (24 inpatient beds, plus up to 10 observation/day surgeries)

Unit & Patient Details

• Nurse-to-patient ratios:

  • Day shift: 5:1
  • Night shift (11 PM): 6:1
• Team nursing model with LPNs (ratio 2 LPNs to 7 RNs)
• Common diagnoses:

  • Nursing home patients, cellulitis, UTI, COPD, GU issues, pacemaker patients, sepsis
  • Day surgeries: Orthopedics (hips and knees), cholecystectomy, appendectomy, TURPS-CBI
  • Small pediatric population (3/year) – only assigned to travelers with prior pediatric experience or if no other options
• Limited onsite resources: No IV team; RN must be comfortable with IV starts
• Respiratory Therapist available 24/7; RT oversees entire hospital
• Telemetry monitoring: Basic arrhythmia knowledge required; physical monitor at nurse’s desk
• Hospitalist or Intensivist coverage until 6 PM daily; telemedicine coverage after 6 PM

Required Qualifications

• Minimum 1 year of experience in Medical/Surgical or Medical Telemetry nursing (acute care experience)
• Preferred experience or knowledge of TURPS-CBI procedures
• Preferred experience in Critical Access or Trauma Level 3 or 4 settings
• Current BLS certification required (AHA)
• ACLS certification preferred
• Must be able to float to like units and patient populations
• Charge nurse role includes patient assignment; travelers may be placed as relief charge nurse

Scheduling & Work Requirements

• Weekend rotation every other weekend (Friday, Saturday, Sunday)
• Holiday coverage required (approximately 2 out of 3 holidays)
• Potential call or standby responsibilities
• Unit-specific orientation:

  • Day 1: 8 hours computer education + 4 hours shadowing
  • Day 2: 12-hour orientation shift
  • Day 3: Independent work
• Dress code: Solid professional attire, no specific color required
• Must clock in and out at the facility

Additional Notes

• Prior experience working at this facility requires a minimum 6-month gap before reapplying
• RNs are not required to titrate drips
• Nurse aides are present on the unit

This position is suitable for experienced Med Tele RNs comfortable with acute care, telemetry monitoring, and working in a resource-limited environment with a diverse patient population.