PCU Stepdown RN
Asheville, NC
American Traveler
3x12 hrs, Days

Assignment Overview

• Shift: Days, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: Jun 8, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is seeking an experienced RN for a Cardiovascular Progressive Care Unit (CVPC) position at a Level II trauma center hospital in Asheville, NC, requiring stepdown and telemetry experience with a 13-week day shift contract.

Details

• 40-bed Cardiovascular Progressive Care Unit (CVPC) located on the E4 floor of the Heart Tower at a large 815-bed regional referral hospital
• Primary patient population includes CV surgery and vascular surgery patients: open heart surgery (CABG, AVR, MVR, Bentall, TAVR), thoracic lung surgery (lobectomy, thoracotomy), esophagogastrectomy, AAA repair (open and endovascular), fem-pop bypass, and carotid endarterectomies
• Overflow medical cardiology patients with diagnoses including heart failure, DKA, chest pain, sepsis, heart block, and similar conditions are also admitted to the unit
• Patient ratio is 1:5 RN-to-patient; PCT ratio is 1:13
• Equipment includes Baxter IV pumps and CADD epidural pumps
• EMR: Cerner
• Day shift: 6:45 AM – 7:15 PM (12-hour shifts)
• Minimum of 6 weekend shifts (Saturday and/or Sunday) required per 6-week schedule period
• Floating required to stepdown units (1:5 ratios), med-surg units (1:6–7 ratios), or the ED inpatient holding area (1:6)
• No on-call requirements

Requirements

• Active NC or Compact RN license required
• Current BLS and ACLS certifications required (AHA or ARC accepted; certifications must not expire within the first 30 days of the assignment start)
• Current NIH Stroke Scale (NIHSS) certification required for PCU RNs
• Minimum 2 years of RN experience required
• Stepdown experience required
• Telemetry experience required
• US SSN and DOB required for consideration — Canadian SSNs are not accepted
• One professional reference required (two required if licensed in Florida or Missouri)
• No gaps in work history of 90 days or more within the past 12 months

Additional Information

• Typical procedures performed on the unit include epidural management, chest tube management, tube feedings, IV glucommander, and cardiac drip management (phenylephrine, dobutamine, dopamine, milrinone, Cardizem, amiodarone, insulin, heparin, nitroglycerin, ketamine)
• Prior CV surgery and vascular surgery experience (open heart, TAVR, lobectomy, AAA repair, fem-pop bypass) within the past year is preferred
• CVICU experience is a plus
• Day shift staffing includes 1 charge RN, 13 RNs, 4 PCTs, and 1.33 HUCs; night shift staffing is similar with 0.33 HUCs
• The hospital is a Level II trauma center, comprehensive stroke center, and holds Magnet® Designation
• Flexibility to work holidays is required
• Scrub attire must be all navy, white tops with navy bottoms, or all white
• Candidates must reside more than 50 miles from the facility — local candidates are not eligible
• Ideal candidates are team players who are flexible and thrive in a fast-paced environment