Registered Nurse - Medical-Surgical / Telemetry

Job Title: Registered Nurse - Medical-Surgical / Telemetry 
Location: Show Low, Arizona
Schedule: Full-Time | Night Shift | Three 12-Hour Shifts per Week
Weekend Requirement: Every Other Weekend
Pay Range: $31.00–$47.00 per hour
Openings: 5

Job Overview

A healthcare organization in Show Low, Arizona, is seeking experienced Registered Nurse - Medical-Surgical / Telemetry for permanent night-shift opportunities.

The RN will care for a mixed Medical-Surgical, Telemetry, and Step-Down patient population in an 18-bed unit that includes six PCU-capable beds. Patients may present with cardiac, neurological, respiratory, renal, infectious, and other acute conditions.

This position requires strong telemetry interpretation skills, experience caring for acute Med-Surg patients, and the ability to safely manage patients requiring cardiac medications and higher-acuity monitoring.

Responsibilities

• Provide direct nursing care to Medical-Surgical, Telemetry, and Step-Down patients
• Perform comprehensive patient assessments and ongoing reassessments
• Develop, implement, and update individualized nursing plans of care
• Monitor cardiac rhythms and validate telemetry interpretations provided by monitor technicians
• Document telemetry rhythm assessments at least every four hours or more frequently when clinically indicated
• Recognize arrhythmias and changes in patient condition and initiate appropriate interventions
• Administer medications, IV therapies, and cardiac medications according to physician orders and established protocols
• Care for patients receiving medications such as:
• Cardizem
• Amiodarone
• Bumex
• Lasix
• Integrilin
• Octreotide
• Protonix
• Provide care to patients with diagnoses including:
• Acute myocardial infarction
• Stroke and TIA
• Pneumonia
• Atrial fibrillation with rapid ventricular response
• Renal disease and dialysis needs
• SIRS
• Diabetes
• Other acute medical conditions
• Care for Step-Down patients requiring high-flow oxygen
• Support patients using home CPAP when appropriate
• Collaborate with hospitalists, respiratory therapists, pharmacy, Charge Nurses, PCTs, HUCs, and other interdisciplinary team members
• Start and manage IV access as needed, as there is no dedicated IV team
• Educate patients and families regarding diagnoses, medications, treatment plans, and discharge instructions
• Maintain accurate and timely clinical documentation
• Follow infection-control, patient-safety, and nursing practice standards
• Float to other Medical-Surgical units based on hospital staffing and census needs

Qualifications

Required

• Current Registered Nurse license or eligibility for Arizona licensure
• Minimum of one year of acute-care nursing experience
• Recent Medical-Surgical and Telemetry experience
• Strong cardiac rhythm interpretation skills
• Experience caring for Telemetry patients in an acute-care hospital setting
• Ability to recognize and respond to changes in cardiac rhythm and patient condition
• Experience administering common cardiac and IV medications
• Strong clinical assessment, prioritization, and decision-making skills
• Ability to work three 12-hour night shifts per week
• Availability to work every other weekend
• Willingness to float to other Medical-Surgical units when needed

Preferred

• Two or more years of Medical-Surgical / Telemetry nursing experience
• Step-Down or Progressive Care experience
• Experience caring for patients with cardiac, neurological, respiratory, and renal diagnoses
• Experience with Philips telemetry monitoring systems
• Experience caring for patients receiving high-flow oxygen
• Dialysis patient-care experience

Department Information

• 18 private patient rooms
• 6 PCU-capable beds
• Mixed Medical-Surgical, Telemetry, and Step-Down unit
• Typical RN ratios:
• Medical-Surgical / Telemetry: Approximately 1:4
• PCU / Step-Down: Approximately 1:3
• Charge Nurse available 24/7 and may take 0–2 patients when needed
• Telemetry technicians available for continuous monitoring
• PCT, HUC, and CNA support
• CNAs may cover up to approximately 9 patients each
• Hospitalist available in-house 24/7
• Respiratory Therapy available 24/7
• Pharmacy available 24/7
• No dedicated IV team
• Philips telemetry monitoring system
• Unit may care for COVID patients when operationally necessary using designated air-handling and separation measures

Schedule

• Full-time night shift
• Three 12-hour shifts per week
• Every other weekend required
• Night-shift weekend rotation generally includes Friday and Saturday
• Floating may occur to other Medical-Surgical units based on hospital needs

Benefits

• Competitive compensation based on experience and qualifications
• Comprehensive health and wellness benefits
• Retirement savings programs
• Paid time off
• Continuing-education and professional-development opportunities
• Nursing career advancement opportunities
• Employee wellness and assistance programs

If you are an experienced Med-Surg / Telemetry RN who is comfortable caring for higher-acuity cardiac and Step-Down patients, we would love to hear from you.