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Registered Nurse (RN), Telemetry Cardiac Step Down

HSHS · O'Fallon, IL · $32.00–$48.00 an hour · Full time

Posted Jul 2, 2026 · We last checked this listing on Oct 6, 2026

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Likely interview questions for this role

Written from this job description, not a generic list. Each one notes what the interviewer is really checking.

About your past

Why telemetry, and why nights at St. Elizabeth's?

What they are checking: Real interest in cardiac monitoring and a plan for steady 7 p.m. to 7 a.m. work.

Tell me about a time you caught a cardiac change early and it made a difference.

What they are checking: Vigilance and quick escalation, which is the core value of a telemetry nurse.

Tell me about a time you supported a patient who was scared after a heart event.

What they are checking: Compassion and teaching skills for anxious cardiac patients.

What would you do

Your patient with heart failure gained three pounds overnight and is short of breath. What do you do?

What they are checking: Recognizing fluid overload and acting on it, a very common telemetry concern.

How do you handle alarm fatigue on a busy night?

What they are checking: Strategies to respond to alarms safely without tuning them out.

A patient with chest pain asks you not to bother the doctor at night. What do you do?

What they are checking: Advocating for safety even when the patient pushes back.

About the work

Your patient's monitor suddenly shows a run of V-tach and the patient says they feel fine. What do you do?

What they are checking: Rhythm recognition paired with assessing the patient, not just the monitor.

How do you tell artifact from a real rhythm change?

What they are checking: Skill in reading strips and checking leads before acting, which prevents both panic and missed events.

A patient on a heparin drip needs a lab-based rate change at 2 a.m. Walk me through it.

What they are checking: Safe high-alert drug management, including double checks and following protocol.

How do you teach a new heart failure patient about diet, weights and medications before discharge?

What they are checking: Patient education that prevents readmissions, a big goal for telemetry units.

Practice this interview out loud.

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The full job description

As published by HSHS.

Pay Range: $32.00 - $48.00 A successful candidate's actual pay rate will be based on several factors including relevant experience, skills, training, certifications and education. Hospital Sisters Health System (HSHS) is seeking a Registered Nurse (RN) to join our Telemetry team. Ideal candidates are patient focused, mission driven caregivers looking for an opportunity to apply clinical knowledge to coordinate and perform hands on acute patient care at the bedside. Position Specifics: o Department: Telemetry o Core Function: Nursing o Schedule: Full Time, Nights, 36 hrs/wk, 7pm - 7am o Facility: St. Elizabeth's Hospital o Location: O’Fallon, IL o Sign On Bonus: $15,000 Education Qualifications • Graduate from an accredited and approved school of nursing accepted for licensure in the state of practice is required. • Bachelor’s degree in Nursing is preferred. Experience Qualifications • Experience in healthcare is preferred. Certifications, Licenses and Registrations • Licensed as a Registered Nurse (RN) in state of practice is required. • Wisconsin: RNs may practice with a valid multi-state RN license as outlined in the Nurse Licensure Compact rules. • Basic Life Support (BLS) is required. Job Description Scheduled Weekly Hours: 36 Throughout communities in Illinois and Wisconsin, 13 hospitals, numerous community-based health centers and clinics, our 13,000+ colleagues have built a culture based on our solid core values of respect, care, competence, and joy. These are the ideals we believe in, work by, and live each day. Built upon more than 145 years of service to the communities we serve, we now look to the future and our place in it as a healthcare system that strives to continually improve processes, procedures, and outcomes with the latest and most advanced technologies and treatments. Regardless of how far our passion for excellence carries us, our focus will always remain on the most important person in our entire organization: The patient. Benefits: HSHS provides a benefits package designed to support the overall well-being of our colleagues including their physical, emotional, financial, spiritual, and work health. Colleagues budgeted to work at least 32 hours per pay period are eligible for HSHS benefits. • Comprehensive and affordable health coverage includes medical, prescription, dental and vision coverage for full-time and part-time colleagues. • Paid Time Off (PTO) combines vacation, sick, and personal days into one balance to allow you the flexibility to use your time off as you need. • Retirement benefits including HSHS contributions. • Education Assistance benefits include up to $5,250 of educational assistance each calendar year and tuition discounts to select colleges with no waiting period. • Adoption Assistance provides financial support up to $7,500 for colleagues growing their families through adoption to reimburse application and legal fees, transportation, and more! • Other benefits include: Wellness program with incentives, employer-paid life insurance and short-term and long-term disability coverage, flexible spending accounts, employee assistance program, ID theft coverage, colleague rewards and recognition program, discount program, and more! Benefits HSHS and affiliates is an Equal Opportunity Employer (EOE). HSHS is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse workforce. Notice Regarding Potential Use of Artificial Intelligence in the Hiring Process Hospital Sisters may use automated tools, including artificial intelligence or machine-learning technologies, to assist with certain administrative aspects of the recruitment process. These tools may help our recruiting team organize applications, search for resumes, identify qualifications reflected in application materials, and facilitate communications or scheduling with applicants. Information used by these tools may include materials you provide during the application process, such as your resume, work history, education, qualifications, and responses to application questions. These tools are used only to support our recruiting process. Hiring decisions are made by HSHS personnel, and automated tools do not make employment decisions on behalf of HSHS. Applicants who have questions about this notice or who require a reasonable accommodation or alternative evaluation method may contact HSHS Human Resources at Contact@hshs.org

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