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

Assignment Overview

• Shift: Days, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: Nov 2, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is seeking an experienced RN for a Stepdown Cardiac position requiring 2 years of recent PCU experience and a NH or compact RN license.

Details

• Stepdown Cardiac unit contracted to the ED to care for inpatient/CICU level holds in the ED
• Patient population includes chest pain, syncope, heart failure, sepsis, overdose, GI bleed, COPD, and pneumonia
• Overflow coverage for medical, surgical, trauma, oncology, and orthopedic patients
• Cares for post-cath patients with stents (no CABG), ICD/pacer insertions, and cardioversions
• Manages and titrates drips including Lasix, Heparin, Cardizem, Amiodarone, Nitroglycerin, Integrillin, Labetalol, Dopamine, and Dobutamine
• Uses BiPAP, CPAP, Vapotherm, Alaris pumps, and Phillips monitoring system
• Day shift schedule, 3x12-hour shifts from 7:00 AM to 7:30 PM
• Every other weekend required
• Floating expected under a team nursing/helping hands approach to similar units
• Patient sitting assignments limited to matching clinical skill set

Requirements

• Active NH or compact RN license required
• Current BLS and ACLS certification required (AHA or American Red Cross only)
• CPI certification preferred
• Minimum 2 years of RN experience required, with strong PCU background within the last year
• ED experience preferred but not required
• EPIC EMR experience required for first-time travelers
• 1:4 patient ratio experience required
• Skilled in cardiac drip titration, dysrhythmia management, and telemetry monitoring
• Experience with BiPAP/CPAP management and non-invasive airway management required
• Chest tube and tracheostomy care experience preferred
• Wound care/wound vac experience preferred
• EKG test required upon arrival
• Two professional references from a supervisor within the past 2 years required
• Full 7-year work history with all employment gaps explained

Additional Information

• Provide stepdown-level cardiac nursing care including drip management and cardiac monitoring
• Respond to rapid response and code team activations as needed
• No Thanksgiving RTO permitted
• Drug screening must be completed within 14 days of the start date
• First-time travelers accepted only with EPIC experience and 2 years of experience
• Previous charge nurse experience preferred
• Former employees of the facility are not eligible for consideration
• Travelers residing within 50 miles of the facility are accepted at the local rate