Registered Nurse Cardiac Stepdown

Job Title

Registered Nurse – Cardiac Stepdown

Location

Salisbury, NC | Acute Care

Schedule / Job Type

Contract | Full-Time | Nights (6:45 PM – 7:15 AM, 3x12-Hour Shifts) | Onsite

Key Responsibilities

• Provide direct patient care on a high-acuity cardiac stepdown unit serving as the primary cardiac and stroke unit, managing a patient assignment of up to 1:5–6 ratio
• Care for stable pre- and post-procedure cardiac patients including pacemaker implantation, implanted cardioverter/defibrillators, cardiac catheterization, and interventional peripheral vascular procedures
• Manage and titrate cardiac drips including Cardizem, Dopamine, and Amiodarone; administer and monitor IV therapy and telemetry
• Monitor and care for patients with diagnoses including unstable angina, CHF, dysrhythmias, CVA, TIA, and low-risk chest pain evaluation
• Operate and monitor special equipment including telemetry, pulse oximetry, high-flow O2, non-rebreather masks, and BiPAP (chronic use only)
• Participate in on-call rotation, float assignments, and required weekend coverage (every other weekend; 2 Mondays and 2 Fridays per 6-week period)

Required Qualifications

• Active NC RN license or valid Compact RN license (pending licensure acceptable at time of submission)
• Minimum 2 years of experience in a cardiac stepdown or similarly high-acuity setting with comparable patient ratios and acuity levels
• Required certifications: ACLS, BLS/BCLS, and NIH Stroke Scale
• Proficiency in IV insertion, telemetry monitoring, cardiac drip management, and PCI patient care
• Must be comfortable managing a 6-patient assignment in a fast-paced, high-turnover environment (78–90 patient turnovers per week)
• Local candidates are welcome and eligible at the same posted rate

Preferred Experience / Skills

• Prior travel nursing experience (first-time travelers will be considered)
• Familiarity with Pyxis, Epic (Dimensions), and SBAR communication frameworks
• Experience titrating Cardizem drips and managing patients on opti-flow or BiPAP (chronic use)
• Comfort with self-scheduling environments and adapting to fluctuating census-based demands

Why Join Us

• Work on a dynamic, high-volume cardiac and stroke unit with a supportive team lead structure to assist with admissions and discharges
• Opportunity for a longer-term contract engagement on a unit that values experienced, adaptable clinicians