Cardiac/Vascular Stepdown RN
Omaha, NE
American Traveler
3x12 hrs, Days

Job Description

American Traveler is seeking an experienced RN for a Cardiac Vascular Unit (CVU) Stepdown position at a Level I Trauma facility, requiring cardiac telemetry experience and Epic proficiency.

Responsibilities

• Acute care stepdown unit (CVU) at a Level I Trauma facility
• 18-bed unit focused on intermediate care and downgraded CVICU patients, supporting thoracic surgery, electrophysiology, cath lab, and structural heart programs
• Common diagnoses include CVA, CHF, A-fib RVR, and other cardiac and vascular conditions
• Nurse-to-patient ratio of 1:4, with 1:3 for post-surgical patients in the first 24 hours
• RNs are required to titrate drips including amio, nitro, nicardipine, epi, cardizem, and other blood pressure management medications
• RT available 24/7; respiratory equipment includes BiPAP, CPAP, and nasal cannula
• Remote telemetry techs available; RNs must independently read and interpret their own telemetry strips (hardwired and tele box capabilities)
• Charge nurse present on each shift and rarely takes a patient assignment
• Patient care techs available at a 1:18 ratio
• Hospitalist and intensivist in house 24/7; cardiology on call after hours
• EMR: Epic experience required
• 12-hour day shifts, 0630–1900; night shifts available 1830–0700
• Schedule managed by unit manager; no block or self-scheduling
• Every other weekend required
• No on-call or standby requirement
• Floating required to same-level and lower-acuity units
• Provide intermediate cardiac and vascular nursing care, including titration of multiple drips and telemetry monitoring
• Unit orientation is tailored to the individual's experience, typically 1–2 shifts on the unit
• A pass/fail, open-book skills exam is administered on the Friday of orientation week; a score of 90% or higher is required to pass — failure results in contract termination
• Artificial nails are prohibited in all patient care areas; refusal to remove them will result to contract termination
• Navy blue scrubs required
• Candidates may not have been directly employed (full-time, part-time, or PRN) by any CommonSpirit-affiliated facility, including CHI or Dignity, within the past year; candidates employed PRN through outside staffing firms will be considered
• RTO requests of 7 days or fewer per 13-week contract must be submitted upfront; additional RTO will not be approved
• Scrub color: Navy blue

Requirements

• Active NE state or Compact (NLC) RN license required; pending licenses not accepted
• Current certifications required: BLS, ACLS, and NIHSS; pending certifications not accepted
• Minimum 2 years of RN experience required
• At least 1 year of experience with cardiac/vascular stepdown patient population required
• Ability to read and interpret cardiac telemetry strips independently
• Experience titrating vasoactive and cardiac drips required
• Driver's license required for consideration (used to verify home address for radius compliance)
• 2 professional references required: one supervisor from within the last 12 months and one peer or supervisor from within the last 3 years, including dates of employment and eligibility for rehire
• Candidates must reside more than 50 miles from the facility to be eligible

Benefits

• High Pay and Bonuses
• Medical, Dental and Vision Insurance with Day 1 Options
• 401(k) Plan
• Weekly Payroll Deposit
• Free Online CEUs
• Generous Housing Allowance
• Travel and Licensure Reimbursements
• Non-taxed Per Diem and Subsidy
• Traveler Rewards and Discounts