Registered Nurse Cardiac Stepdown

Job Title

Registered Nurse – Cardiac Stepdown

Location

Salisbury, NC

Schedule / Job Type

Contract | Onsite | Nights – 4x12-Hour Shifts (18:45–07:15)

Key Responsibilities

• Provide direct nursing care to cardiac and stroke patients including stable pre- and post-procedure care for pacemaker implantation, implantable cardioverter/defibrillators, cardiac catheterization, and interventional peripheral vascular procedures
• Monitor and manage patients with diagnoses including unstable angina, CHF, dysrhythmias, CVA, TIA, and low-risk chest pain evaluation
• Initiate and titrate cardiac drips including Cardizem, Dopamine, and Amiodarone
• Manage telemetry monitoring and pulse oximetry; support patients on non-rebreather masks, high-flow O2, and chronic BiPAP as indicated
• Manage a patient assignment of up to 5–6 patients in a high-volume, fast-paced unit with frequent admissions and discharges (unit turns over 78–90 patients per week)
• Float within or near the facility as needed and participate in on-call rotation based on patient census

Required Qualifications

• Active RN license in North Carolina or a Compact state
• Minimum 2 years of experience in a cardiac stepdown or similarly high-acuity, high-volume setting
• Proficiency in IV insertion and telemetry monitoring
• Experience with cardiac drips and PCI patient care
• Current ACLS, BLS, and NIH Stroke Scale certifications
• Must pass EKG competency testing prior to start

Preferred Experience / Skills

• Prior travel nursing experience (first-time travelers are welcome)
• Familiarity with Pyxis, Epic (Dimensions), and SBAR communication framework
• Experience managing TR bands and post-PCI sheath-free patients
• Comfort working in a unit that also cares for patients requiring opti-flow and BiPAP during surge periods

Why Join Us

• Contract length flexibility with assignments accepted from 13 to 26 weeks, with the possibility of 48-hour weekly offerings
• Self-scheduling model with team lead support for admissions and discharges, offering structure in a dynamic, high-acuity environment