Progressive Care Step Down RN
Lebanon, NH
American Traveler
4x12 hrs, Rotating
$3,206/weekOverview
- Start Date11/23/2026
- Shift Breakdown4x12 hrs
- ShiftRotating
- Duration13 weeks
- Facility InformationShort Term Acute Care405 beds
- SettingHospital
Pay
Description
Assignment Overview
- Shift: Rotating, 4x12hrs
- Hours: 48 hrs/wk
- Start Date: Nov 23, 2026
- Length: 13 weeks
- Openings: 1
Description
American Traveler is hiring an RN for a Progressive Care/Step Down unit requiring NH or compact RN license and at least 1.5 years of recent equivalent experience.
Details
- Work in a 48-bed step-down unit within the Heart & Vascular department
- Care for cardiology, EP, and cardiac surgical patients including cardiothoracic surgical, pre/post CHF, telemetry, vascular, and pulmonary HTN cases
- Manage patients with temporary pacers, external pacers, epicardial wires, and TR bands
- Patient ratios are 1:3 on days and 1:4-5 on nights depending on acuity
- 12-hour shifts with day/night rotation
- Weekly hours of 36 or 48 depending on scheduling needs
Requirements
- Active NH RN license or Compact RN license with proof of state residency required
- Current BLS and ACLS certifications
- Minimum of 1.5 years of recent equivalent step-down or progressive care experience
- Experience with chest tubes, central lines, trachs/laryngectomies, and complex wound care
- Experience managing drips such as Diltiazem, heparin, Lasix, insulin, amiodarone, nitro, primacor, dobutamine, and dopamine
- Experience with hemodynamic monitoring, invasive BP monitoring via arterial lines, and Bi-PAP/C-PAP
- Experience caring for post-surgical patients with lines, tubes, and drains
Additional Information
- Provide direct care to complex cardiac and post-surgical patients requiring advanced monitoring and intervention
- Administer and monitor low-dose pressors, vasoactive medications, and inotropes
- Perform central line care, maintenance, and blood draws
- Must reside outside a 75-mile radius of the facility to be considered for this position
Facility
Dartmouth-Hitchcock Medical Center
15 nurses recommend working with Dartmouth-Hitchcock Medical Center

- Short Term Acute Care
- 405 beds
Employer
American Traveler
86 nurses recommend working with American Traveler
Pros
Sebrona was so thorough and great to work with.
Cons
None
With over 25 years of experience, American Traveler has established a reputation for outstanding customer service. Our team ensures a smooth, worry-free experience for those starting on or expanding their travel nursing and allied careers.
With thousands of travel nursing and allied jobs nationwide, our attentive and approachable recruiters find positions that align perfectly with your career aspirations and personal requirements.
American Traveler offers exceptional benefits, including premium medical, dental, vision and life insurance beginning day one of your assignment, generous 401(k) match, substantial housing stipends, and more. Additionally, with 24/7 support and access to our in-house clinicians, you are assured confidence and comfort throughout your assignment.
With our team behind you, you can relax and enjoy a rewarding travel career.
About Lebanon, NH
As a Travel Stepdown Nurse in Lebanon, NH here's what you should know:- The cost of living in Lebanon, NH is slightly higher than the national average, with housing costs being the primary factor.
- However, wages generally match up with the cost of living in the area.
- The average high temperature in summer is around 80°F, while the average low in winter is around 10°F.
- Lebanon experiences all four seasons, with beautiful foliage in the fall.
- Short term rentals and furnished housing options are available in Lebanon, and they are relatively easy to find due to the area's popularity with travel nurses and medical professionals.
- Lebanon is car-friendly, with well-maintained roads and ample parking.
- Public transportation options are limited, so having a car is essential for getting around the area.
- Lebanon has a diverse population, with a wide age range due to the presence of Dartmouth-Hitchcock Medical Center.
- Common health issues in the area include seasonal allergies and cold-related illnesses.
- There is a large population of travel nurses and medical professionals in the area.
- Lebanon offers a variety of restaurants, including farm-to-table dining options.
- The area has a vibrant arts scene, with galleries and live music venues.
- Outdoor enthusiasts will enjoy the numerous hiking trails and access to outdoor sports such as skiing and snowboarding in the winter.
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