Stepdown Cardiac RN
Manchester, NH
American Traveler
4x12 hrs, Nights

Assignment Overview

• Shift: Nights, 4x12hrs
• Hours: 48 hrs/wk
• Start Date: Aug 17, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is hiring a travel RN for a Stepdown Cardiac/ED Surge position requiring at least 2 years of PCU experience, Epic proficiency, and the ability to manage and titrate cardiac drips.

Details

• Position is contracted to the ED unit, specifically to care for inpatient and CICU-level holds within the ED
• Patient population includes chest pain, syncope, heart failure, sepsis, overdose, GI bleed, COPD, pneumonia, s/p cath with stent (no CABG), ICD/pacer insertions, and cardioversions
• Overflow patients may include medical, surgical, trauma, oncology, and orthopedic cases
• Patient ratio is 1:4
• Charting system is Epic
• Night shift, 4x12-hour shifts (19:00–07:30)
• Every other weekend required
• Floating to similar units is expected; travelers will not be assigned patients outside their clinical scope
• Team nursing/Helping Hands approach utilized on the unit
• Must be able to manage and titrate drips including Lasix, Heparin, Cardizem, Amiodarone, Nitroglycerin, Integrillin, Labetalol, Dopamine, and Dobutamine
• Special equipment includes BiPAP, CPAP, Vapotherm, Alaris Pumps, and Philips Monitoring System

Requirements

• Active NH or Compact RN license currently in hand
• Required certifications: ACLS and BLS (AHA or Red Cross only)
• EKG test required upon arrival
• Minimum 2 years of nursing experience with a strong PCU background within the last year
• Epic experience required
• ED experience preferred but not required
• Proficiency managing and titrating cardiac and vasoactive drips required
• Experience with BiPAP/CPAP management, high-flow nasal cannula (HFNC), and non-invasive airway management required
• Skills in telemetry monitoring, dysrhythmia management, blood product administration, and peripheral line care required
• Facility drug screen must be completed within 14 days of start

Additional Information

• First-time travelers are accepted provided they have Epic experience and a minimum of 2 years of experience
• No RTO available during Thanksgiving
• Candidates living within 50 miles of the facility are accepted at a local pay rate
• Former staff of this facility are not eligible for travel roles regardless of time since separation
• Two professional supervisory references from within the past 2 years are required for consideration
• Background or license issues must receive facility approval prior to offer
• CPI certification is preferred