Decypher · 1 month ago
Per Diem Telemetry RN
Decypher is a leading integrator of professional, technology, and management solutions and services. They are seeking a Telemetry Registered Nurse to support the mission at Walter Reed National Military Medical Center in Bethesda, MD. The role involves monitoring patients' cardiac rhythms, interpreting telemetry data, and collaborating with healthcare providers to ensure patient safety and care.
Information Technology
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
Qualification
Required
Accredited school of Nursing (Diploma, AD or BSN)
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
Must have Basic Life Support (BLS) certification
Basic dysrhythmia course with certificate required
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
Preferred
Advance Cardiac Life Support (ACLS) is desirable