Telemetry RN

Location: Antioch CA Contract : 13 Weeks

Shift: Day (3x12 Hours) 7:00 19:30 and Night (3x12 Hours) 19:00 7:30

Position Overview: Accountable for the assessment, coordination, delivery and evaluation of nursing care, including direct patient care, patient/family education and transitions of care in an acute patient setting. Delivers holistic and individualized care to all patients in an assigned area. Develops, implements, and coordinates a plan of care that incorporates psychological, sociocultural, spiritual, economic, and life-style factors. Fosters and maintains collaborative relationships between patients, their family/support group, physicians, and other healthcare providers through timely and effective communications. Adheres to hospital policies, industry standards, best practices, and applicable laws and regulations to promote an optimal patient experience.

**REQUIRED - Recent Clinical experience and proficiency in telemetry and rhythm interpretation:

-Ability to read and interpret telemetry rhythms efficiently, including:

• Recognition of common arrhythmias (A-fib, A-flutter, SVT, VT, PVCs, PACs)

• Identification of rate, rhythm, intervals, and clinical significance

• Appropriate escalation or intervention based on rhythm changes

Recent clinical experience initiating, titrating, monitoring, and documenting the following drips:

• Amiodarone

• Indications for use (e.g., ventricular arrhythmias)

• Understanding of loading dose vs. maintenance infusion

• Monitoring for hypotension, bradycardia, and QT prolongation

• Cardizem (Diltiazem)

• Use in rate control for A-fib/A-flutter

• Titration parameters and BP/HR monitoring

• Recognition of contraindications (e.g., severe hypotension)

• Dobutamine

• Use in cardiogenic shock or low cardiac output states

• Titration based on hemodynamic response

• Monitoring for tachyarrhythmias and blood pressure changes

• Lasix

• Safe administration and monitoring of diuresis

• Electrolyte and renal function considerations

• Assessment of fluid status and response

• Insulin Drips

• Protocol-based titration (DKA/HHS management)

• Glucose monitoring frequency and safety parameters

• Transitioning from drip to subcutaneous insulin

• Heparin Drips

• Protocol-driven titration based on aPTT or anti-Xa

• Monitoring for bleeding, HIT risk, and dose adjustments

• Understanding of weight-based dosing

Mandatory Experience: Minimum one year current experience in Med/Tele Required

Required Certs: CA RN

ACLS

BLS