Registered Nurse IMC/PCU/Stepdown

Job Title

Registered Nurse – Cardiovascular Progressive Care (IMC/PCU/Stepdown)

Location

Asheville, NC | Stepdown / Progressive Care

Schedule / Job Type

Contract | Night Shift (6:45 PM – 7:15 AM) | Onsite

Key Responsibilities

• Provide progressive care nursing for a primary patient population including CV surgery, vascular surgery, and thoracic surgery patients (e.g., open heart surgery, TAVR, lobectomy, AAA repair, fem-pop bypass)
• Manage overflow medical cardiology patients presenting with diagnoses such as heart failure, DKA, chest pain, sepsis, and heart block
• Perform and oversee unit procedures including epidural management, chest tube management, tube feedings, IV glucommander, and cardiac drip management (phenylephrine, dobutamine, dopamine, milrinone, cardizem, amiodarone, insulin, heparin, nitroglycerin, ketamine)
• Maintain a 1:5 patient-to-RN ratio within a 40-bed cardiac surgery stepdown unit
• Document and manage patient care using Cerner EMR
• Float as needed to other stepdown units (1:5 ratio), medical-surgical units (1:6–7 ratio), or ER inpatient holding area (1:6 ratio)

Required Qualifications

• Active RN license valid in North Carolina (or compact state eligibility)
• Stepdown experience required
• Telemetry experience required
• ACLS and BLS certifications required
• Ability to meet weekend requirements: minimum of 6 weekend shifts (Saturday/Sunday, day or night) per 6-week schedule period
• Flexibility to work holidays

Preferred Experience / Skills

• Prior experience within the past year with CV surgery and vascular surgery patient populations (open heart, TAVR, lobectomy, AAA repair, fem-pop bypass)
• CVICU experience
• Familiarity with Baxter IV pumps and CADD epidural pumps

Why Join Us

• Opportunity to work in a high-acuity, fast-paced cardiovascular stepdown environment with a diverse and complex surgical patient population
• Join a large, well-staffed unit with approximately 100 team members and structured support resources including charge RNs, PCTs, and HUC coverage