Job Opportunity – Registered Nurse (RN) – Emergency Department Observation Unit – Maryland
Start Date: November 30, 2026
Location: Randallstown, Maryland
Compensation: Details provided to qualified applicants
Schedule: 3x12-hour shifts, 7:00 AM – 7:30 PM; every other weekend required; unit utilizes self-scheduling
Highlights:
- Emergency Department Observation Unit serving adult and geriatric patient populations
- Patient ratio of 1:5 across all shifts
- Strong focus on cardiac telemetry monitoring and dysrhythmia interpretation and management
- Cerner EMR system in use
- Floating within scope required based on facility needs
- No on-call requirement; collaborative interdisciplinary team support including IV teams, respiratory services, pharmacy, and rapid response teams
Requirements:
- Active Maryland or Compact RN license required at time of submission
- Minimum 7 years of RN experience required
- Strong cardiac telemetry experience required; ER holding and PCU/Stepdown experience preferred
- Current ACLS, BLS, and NIHSS certifications required
- Extensive experience with cardiac telemetry monitoring (on-unit and remote), dysrhythmia interpretation and management
- Proficiency in temporary and permanent pacemaker management
- Experience with Rapid Response/Code Team protocols
- Demonstrated competency in pre/post hemodialysis and renal failure management
- Skilled in blood product administration, central line, peripheral line, and PICC line management
- Proficient in phlebotomy and IV initiation and maintenance
- Heparin protocol and non-titratable cardiac drip management experience required
- CVA/stroke care experience required
- Experience with oxygen administration, nasal cannula, and oxygen tank management
- Knowledge of isolation precautions/PPE and wound/wound vac care
- Experience with Cerner charting system required
Why It's a Great Opportunity:
This Emergency Department Observation Unit position offers the opportunity to utilize advanced cardiac monitoring and critical thinking skills while caring for a diverse adult and geriatric patient population. You'll work alongside a collaborative interdisciplinary team with comprehensive support services, allowing you to focus on delivering excellent patient care in a dynamic observation setting. The self-scheduling model provides flexibility while maintaining consistent staffing ratios, creating a sustainable work environment for experienced nurses.
Additional Information:
- Local candidates accepted
- First-time travelers welcomed
- Time off requests of 14 days or less are auto-approved through the system
- Holiday coverage required every other winter and summer holiday; no time off approved for hard-to-fill days
- No time off requests accepted after offer acceptance
- Flu vaccine required (medical/religious exemptions only); COVID-19 vaccine not required
- Non-billable orientation modules (up to 8 hours) completed virtually on first day