Cardiovascular Stepdown RN
Omaha, NE
American Traveler
3x12 hrs, Days

Assignment Overview

• Shift: Days, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: Apr 13, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is seeking an experienced RN for a Cardiovascular Unit (CVU) Stepdown position at a Level I Trauma Center, requiring at least 1 year of cardiovascular patient population experience and active NE or Compact RN licensure.

Details

• Cardiovascular Stepdown Unit (CVU 5E) in an acute care, Level I Trauma Center hospital setting
• 18-bed unit caring for intermediate-care patients, downgraded CVICU patients, and those supporting the thoracic program, EP, cath lab, and structural heart program
• Common diagnoses include cath lab patients, CVAs, CHF, A-fib RVR, and other cardiac and vascular conditions
• Nurse-to-patient ratio is 1:4, or 1:3 for post-surgical patients within the first 24 hours
• RNs are required to titrate drips including amiodarone, nitroglycerin, nicardipine, epinephrine, cardizem, and other blood pressure management medications
• RT is available 24/7; RT equipment includes BiPAP, CPAP, and nasal cannula — RNs are not required to manage RT equipment beyond troubleshooting
• Remote telemetry techs are available; RNs must independently read and interpret telemetry strips — unit has both hardwired tele and tele box capabilities
• Charge nurse is present on each shift and rarely takes a patient assignment
• Patient care techs are available at a 1:18 ratio
• Hospitalist and intensivist are in-house; cardiology is on call after hours
• EMR: Epic
• 12-hour day shifts, 0630–1900
• Every other weekend required
• No on-call or standby requirement
• Floating required to same and lower acuity levels
• Schedule is manager-directed; no block or self-scheduling

Requirements

• Active NE or Compact (NLC) RN license — must be active at time of consideration; pending licenses are not accepted
• Current BLS, ACLS, and NIHSS certifications required — pending certifications are not accepted
• Minimum 1 year of experience with cardiovascular/intermediate care patient populations
• Experience titrating vasoactive and cardiac drips required
• Candidates must reside at least 50 miles from the facility, as verified by driver's license
• Candidates may not have been directly employed (full-time, part-time, or PRN) by any CommonSpirit-affiliated facility, including CHI and/or Dignity — candidates who worked PRN through outside staffing firms will be considered
• Two professional references required: one supervisor from within the last 12 months and one peer or supervisor from within the last 3 years, each including dates of employment and eligibility for rehire
• A copy of a valid driver's license is required for consideration

Additional Information

• 1–2 shifts of unit-specific orientation, tailored to the candidate's experience level
• RNs must pass an open-book skills exam during orientation with a minimum score of 90% — failure to pass results in contract termination
• Navy blue scrubs required
• Artificial nails are prohibited in all patient care areas — refusal to remove artificial nails will result to contract termination
• RTO requests (7 days or fewer per 13-week contract) must be submitted upfront; additional RTO will not be approved after consideration
• 13-week contract