Stepdown PCU RN
Marshfield, WI
American Traveler
3x12 hrs, Days

Assignment Overview

• Shift: Days, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: Dec 7, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is hiring an experienced Cardiac Telemetry RN for a stepdown unit requiring prior post-cath and post-cardiac surgery experience.

Details

• Acute care Level 2 trauma hospital setting on a 29-bed IMC/Telemetry/Cardiac/Dialysis stepdown unit
• Nurse-to-patient ratios of 1:4 through 2300 and 1:5-6 on nights after 2300
• Cares for cardiac medical and surgical patients, including post-cath lab (stent, pacemaker, ICD, Watchman, MitraClip, TAVR) and post-cardiac surgery (CABG, valve replacement) patients
• Manages common diagnoses such as Afib, chest pain, CHF, arrhythmias, syncope, and bradycardia with temporary pacemakers
• Responsible for titrating drips including Nitroglycerin, Heparin, Diltiazem, Amiodarone, Lasix, Bumex, and Dobutamine (no vasopressors)
• 24/7 central telemetry unit monitors all non-critical care patients and reads strips
• Charge RN takes a modified patient assignment
• Nurse aide support ratios range from 1:10 on days to 1:15 on nights
• 24/7 Respiratory Therapy support available for nebulizers, inhalers, CPAP, BiPAP, and high-flow oxygen; RNs manage incentive spirometry
• Uses Cerner EMR, which is transitioning to Epic
• 12-hour day shifts with every other weekend and holiday requirement; Fri/Sat/Sun option available
• No self-scheduling; block scheduling used when it meets unit needs
• No standby or call requirements outside of extra shift opportunities
• Floating required as needed based on unit census

Requirements

• Active RN license (WI or Compact) required by start date
• Current certifications: ACLS and BLS (AHA)
• Minimum 2 years of recent RN experience in a busy hospital environment required
• Experience with post-procedural cath lab patients and management of TR band compression devices required
• Experience managing chest pain and post-cardiac surgical patients required
• Experience titrating cardiac drips required
• Two professional references required: one from a supervisor and one from a peer or supervisor

Additional Information

• Provide direct nursing care to a mixed cardiac medical, surgical, and post-procedural patient population
• Unit orientation includes one shift of HR onboarding and one shift on the unit
• No scrubs provided and no specific scrub color required
• All clinicians must clock in and out at the facility
• Candidates must reside more than 80 miles from the facility to qualify for full travel rate; those within 80 miles are considered local with a reduced rate
• Former permanent staff must have an end date at least 6 months prior to submission and require hospital approval to return
• First-time travelers may be considered for this position