Registered Nurse Cardiac Stepdown

Location: Winston-Salem, NC
Profession: Registered Nurse

Posted: 7/22/2026
Salary: $1915.00/weekly

Weekly Hours: 36
Shift: Days

Job Details

Job Title

Registered Nurse – Cardiac Stepdown

Location

Winston-Salem, NC

Schedule / Job Type

Contract | Days | 6:45 AM – 7:15 PM | 3x12-hour shifts | 36 or 48 hours per week supported | 13-week contract

Key Responsibilities

  • Provide direct patient care on a cardiac stepdown/telemetry unit with a patient ratio of 1:5–6
  • Monitor and interpret telemetry for patients presenting with chest pain, arrhythmias, pacemaker, or defibrillator needs
  • Manage cardiac drips including Cardizem, Dopamine, Dobutamine, Milrinone, Amiodarone, Lasix, and Heparin
  • Collaborate with a heart failure navigator and interdisciplinary team using SBAR communication
  • Document patient care using EPIC and manage medication administration via Pyxis
  • Float to other telemetry units as needed; work 4 weekend days per 6-week scheduling period

Required Qualifications

  • Active RN license in North Carolina or a compact state license
  • Minimum of 2 years of nursing experience in a cardiac stepdown or telemetry setting
  • Proficiency in telemetry monitoring, interpretation of dysrhythmias, and management of dysrhythmias
  • Experience with cardiac drips and IV medication management
  • Current ACLS and BLS certifications required
  • Must pass EKG competency testing prior to start

Preferred Experience / Skills

  • Experience with EPIC, Pyxis, and SBAR communication frameworks
  • Prior travel nursing experience (first-time travelers are accepted)
  • Familiarity with heart failure patient populations and care protocols

Why Join Us

  • 36 hours of on-unit orientation provided to support a smooth transition onto the unit
  • Flexible weekly hour options with both 36- and 48-hour schedules supported

Apply Now

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