Registered Nurse Telemetry - Night shift

Join Decypher and make a direct impact on the health and readiness of Americas service members, veterans, and their families. Since 2008 Decypher has offered healthcare industry professionals careers where their expertise is valued, and their work makes a meaningful impact. Decypher partners with the Defense Health Agency to deliver professional services, technology, and management solutions. Our mission is to provide and support quality care for our veterans, servicemembers and their families, across the United States.

Job Summary: Registered Nurse will provide continuous cardiac monitoring and telemetry support by accurately interpreting ECG rhythms, recognizing life-threatening cardiac events, and promptly communicating critical findings to the healthcare team. Deliver high-quality patient care through rhythm analysis, telemetry equipment management, post-operative cardiac monitoring, medication administration, and compliance with hospital policies and clinical standards.

Required Qualifications:

• Education:
  • Associate's degree in nursing from an accredited school of Nursing or
  • Bachelor's degree in nursing from an accredited school of Nursing
• Licensure: RN with a current, active, full, and unrestricted license or registration as a professional nurse from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States.
• Certifications:
  • Basic Life Support (BLS) certification.
  • Advance Cardiac Life Support (ACLS) is preferred
  • Basic dysrhythmia course with certificate required.
• Experience: One (1) year full time experience within the last 3 years in Caring for Adult patients in an acute care telemetry setting with cardiac monitoring.

Key Responsibilities:

• Possess knowledge of telemetry system/ECG monitoring and possess ability to place ECG electrodes, and record telemetry data to interpret EKG rhythm. Communicate cardiac rhythm changes and information on monitored patients with physician and interdisciplinary team.
• Obtain analyze and post rhythm strips on admission in patient records per unit protocol or as ordered by physician. Successfully interpret rhythm strips to include rate (atrial and ventricular), rhythm, PR interval, QRS interval, QT interval, ectopic beats, and ST segment changes and report abnormalities to provider.
• Identify life threatening dysrhythmias and take immediate action by alerting responsible provider, if necessary, call the emergency cardiac response team.
• Monitor continuous pulse oximetry, assess and record findings as ordered and notify provider of baseline changes. Record more frequently in accordance with RRT, Code Blue or acute changes in patient status.
• Notify provider when changes in the monitoring parameters are required for a particular patient and successfully change electrodes placement and batteries when required.
• Demonstrate knowledge of basic anatomy and physiology of the heart and conduction system, to include location and function of organs and structures.
• Ensure compliance and understanding of unit and hospital SOP (Standard Operating Procedures) related to Telemetry protocols.
• Able to STAT judgement and decision calls in regard to patients experiencing life- threatening of potentially life-threatening dysrhythmias and immediately notify provider.
• Analyze temporary pacemaker function for failure to sense, failure to pace, and failure to capture and immediately report these life-threatening incidents to provider.
• Demonstrate ability to care for surgical cardiac patients post catheterization, Coronary Artery Bypass Grafting (CABG), thoracotomy, and other procedures requiring chest tubes and other drainage management.
• Successfully administer intravenous cardiac/antiarrhythmic drugs and other approved telemetry medication therapy IAW policy and procedure.
• Participate in unit skills fairs, education and training to ensure compliance with unit, hospital, JC protocols.

Work Environment & Schedule:

• On site at Walter Reed National Military Medical Center, Bethesda, Maryland.
  Day shift: 6:45pm to 7:15am.
• Weekend rotation required; one weekend per month
• 12 hour shifts, 36 hours per week, no over time. Paid holidays.

Physical requirements: The position requires the physical ability to stand, walk, bend, lift, transfer, and reposition patients throughout extended shifts while safely operating medical equipment and performing direct patient care. The RN must also have the stamina, manual dexterity, visual and auditory acuity, and ability to respond quickly to emergencies, including performing CPR and participating in rapid response and resuscitation efforts.

Compensation & Benefits: Up to $59.50 per hour H&W

Decypher is an equal opportunity and affirmative action employer committed to a diverse and inclusive workforce (M/F/D/V).