Stepdown Cardiac RN
Manchester, NH
American Traveler
3x12 hrs, Nights

Assignment Overview

• Shift: Nights, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: Aug 17, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is seeking an experienced RN for a Stepdown Cardiac position requiring a strong PCU background, Epic proficiency, and active NH or Compact RN license.

Details

• Position is contracted to the ED unit, specifically to care for inpatient/CICU-level holds in the ED
• Patient population includes chest pain, syncope, heart failure, sepsis, overdose, GI bleed, COPD, pneumonia, and post-cath with stent (no CABG), ICD/pacer insertions, and cardioversions
• Overflow patients may include medical, surgical, trauma, oncology, and orthopedic cases
• Manages and titrates drips including Lasix, Heparin, Cardizem, Amiodarone, Nitroglycerin, Integrillin, Labetalol, Dopamine, and Dobutamine
• Equipment used includes BiPAP, CPAP, Vapotherm, Alaris Pumps, and Philips Monitoring System
• Charting system: Epic (experience required)
• Shift: Nights, 3x12-hour shifts (19:00–07:30)
• Patient ratio: 1:4
• Every other weekend (EOW) required

Requirements

• Active NH or Compact RN license required
• Minimum 2 years of RN experience with a strong PCU background within the last year
• Current certifications required: ACLS and BLS (AHA or Red Cross only)
• EKG test required upon arrival
• Epic EMR experience required
• Proficiency in BiPAP/CPAP management, high-flow nasal cannula (HFNC), and non-invasive airway management
• Ability to titrate cardiac and vasoactive drips required
• Skills in IV therapy, blood product administration, cardiac monitoring, and dysrhythmia management required
• ED experience preferred but not required
• Charge nurse experience preferred
• 2 professional supervisory references from within the past 2 years required for consideration
• Drug screen required within 14 days of start date

Additional Information

• First-time travelers are accepted only with Epic experience and a minimum of 2 years of experience
• Former staff of this facility are not eligible for travel roles
• Floating to similar units is expected; travelers will not be assigned patients outside their clinical scope
• Team nursing/Helping Hands approach utilized on unit
• Patient sitting may be part of floating responsibilities
• Only AHA or Red Cross certifications are accepted
• CPI certification preferred
• No RTO approved for Thanksgiving
• Candidates living within 50 miles of the facility are accepted at the local pay rate
• Any license or background hits must receive facility approval prior to an offer being extended