Progressive Care Step-Down RN
Lebanon, NH
American Traveler
3x12 hrs, Rotating

Assignment Overview

• Shift: Rotating, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: Jul 20, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is hiring a travel RN for a Progressive Care / Step-Down Unit position requiring at least 1.5 years of recent equivalent experience, with a NH or compact RN license and a day/night rotation schedule.

Details

• 48-bed step-down unit specializing in cardiology, electrophysiology (EP), and cardiac surgical patients
• Patient population includes cardiothoracic surgical (pre and post-op), CHF, vascular, pulmonary hypertension, and telemetry patients
• Patient ratios: 1:3 on days, 1:4-5 on nights depending on acuity
• Day/night rotation, 36 hours per week
• Step-down procedures include hemodynamic monitoring, invasive BP monitoring via arterial lines, BiPAP/CPAP, low-dose pressors, vasoactive meds, inotropes, external pacers, epicardial wires, and TR bands
• Med/surg-level skills utilized include chest tubes, trachs/laryngectomies, telemetry, complex wounds, central line care and maintenance (including blood draws), and drips such as Diltiazem, heparin, Lasix, insulin, and amiodarone

Requirements

• Active NH RN license or compact RN license required; proof of state residency required for compact license holders
• Current BLS and ACLS certifications required
• Minimum 1.5 years of recent, equivalent step-down or progressive care experience required
• Recent Level 1 or comparable Level 2 trauma experience within the last 2 years required
• Experience with vasoactive drips, hemodynamic monitoring, and post-surgical patient management required
• Two references from managers required for consideration

Additional Information

• Candidates must reside more than 75 miles from the facility — local candidates are not eligible for this position
• Care responsibilities include managing post-surgical lines, tubes, and drains, as well as complex wound care and tracheostomy management