Step-Down Registered Nurse
Manchester, NH
ADEX Healthcare Staffing LLC
3x12 hrs, Nights
Referral Bonus

Opportunity:

RN - Stepdown

Job Details:

• Work in a brand new stepdown unit expected to open March 8, 2026
• Maintain 1:3 patient ratio with 12 beds total and average daily census of 11 patients
• Every other weekend requirement with 6 weekend shifts per contract
• 36-hour orientation period required
• Minimum 2 years of nursing experience required
• Travel experience required - first time travelers not accepted
• Epic charting system experience required
• Required certifications: ACLS, BLS, NIHSS
• Any color scrubs permitted
• Float expectations include helping hands/team nursing approach with assistance in ICU and ED
• Care for patients with respiratory failure, diabetic ketoacidosis, sepsis, post-surgical care, stable single organ trauma, and stroke
• Perform arterial/central line management, telemetry monitoring, BiPAP/high flow oxygen, epicardial wire care, and chest tube management
• Work with specialized equipment including lifts in every room, noninvasive fluid management systems, air taps, and telemetry monitoring
• Use Omnicell medication system, EPIC documentation, and SBAR communication protocols
• Must be flexible with new unit processes and potential changes during startup phase

Facility:

This healthcare facility is expanding its services with the addition of a brand new stepdown unit designed to provide intermediate care for patients who require more monitoring than general medical floors but less intensive care than ICU settings. The facility offers comprehensive interdisciplinary support including IV teams, physical therapy, respiratory services, interpretation services, phlebotomy, radiology, social services, rapid response teams, pharmacy, transportation, and unit secretaries. The organization maintains high standards for patient care and utilizes modern technology and equipment to support optimal patient outcomes.

Location:

Manchester, NH

Manchester offers the perfect blend of urban amenities and New England charm, serving as New Hampshire's largest city with vibrant cultural attractions, dining, and entertainment options. The area provides excellent outdoor recreation opportunities with easy access to mountains, lakes, and ski resorts, while maintaining proximity to Boston for additional metropolitan conveniences.