Cardiac Stepdown RN
Omaha, NE
American Traveler
3x12 hrs, Nights

Assignment Overview

• Shift: Nights, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: May 25, 2026
• Length: 13 weeks
• Openings: 2

Description

American Traveler is seeking an experienced RN for a Cardiovascular Unit (CVU) Stepdown position at a Level 1 Trauma facility in Nebraska, requiring at least 1 year of cardiac stepdown experience and night shift availability.

Details

• Cardiovascular Stepdown Unit (CVU 5E) in an acute care, Level 1 Trauma hospital setting
• 18-bed unit supporting a thoracic program, electrophysiology (EP), cath lab, and structural heart programs
• Patient population includes intermediate care patients, downgraded CVICU patients, and those with diagnoses such as cath lab recovery, CVA, CHF, A-fib with RVR, and other cardiac and vascular conditions
• Nurse-to-patient ratio is 1:4, with 1:3 for post-surgical patients in the first 24 hours post-op
• RNs are required to titrate drips including amiodarone, nitroglycerin, nicardipine, epinephrine, cardizem, and other blood pressure management medications
• Respiratory therapy support available 24/7; equipment includes BiPAP, CPAP, and nasal cannula
• Remote telemetry techs available; RNs must independently read and interpret telemetry strips — unit has both hardwired and telemetry box capabilities
• Charge nurse present each shift; charge nurse rarely takes a patient assignment
• Nurse aides/patient care techs on unit at a 1:18 ratio
• Hospitalist and intensivist in-house 24/7; cardiology on call after hours
• 12-hour night shifts (1830–0700)
• Every other weekend required
• No on-call or standby requirement
• Floating required to same and lower acuity levels
• Schedule managed by the unit manager; no block or self-scheduling
• EMR: Epic

Requirements

• Active NE or Compact (NLC) RN license — must be active at time of consideration; pending licenses not accepted
• Current certifications required: BLS, ACLS, and NIHSS — pending certifications not accepted
• Minimum 1 year of experience with cardiac stepdown or intermediate cardiac care patient population
• Minimum 2 years of overall RN experience required
• Driver's license required for consideration — used to verify permanent residence outside the 50-mile radius
• 2 professional references required: one supervisor from within the last 12 months and one peer or supervisor from within the last 3 years, both including dates of employment and eligibility for rehire

Additional Information

• Candidates must reside at least 50 miles from the facility; permanent address as shown on driver's license is used to verify eligibility
• Candidates who are currently or have been directly employed (full-time, part-time, or PRN) by any CommonSpirit-affiliated facility, including CHI and/or Dignity, within the past year are not eligible — candidates employed PRN through outside staffing firms will be considered
• A pass/fail, open-book skills exam is administered on the Friday of orientation — a score of 90% or higher is required to pass; failure to pass may result to contract termination
• Unit-specific orientation is tailored to the candidate's experience level, typically 1–2 shifts
• Navy blue scrubs required
• Artificial nails are prohibited in all patient care areas; refusal to remove artificial nails will result in contract termination
• RTO requests (7 days or fewer per 13-week contract) must be provided upfront; additional RTO will not be approved after that point
• 13-week assignment