Step Down RN
Mount Airy, NC
American Traveler
3x12 hrs, Nights

Assignment Overview

• Shift: Nights, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: Nov 30, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is hiring a Night Shift RN for a Step Down/PCU unit requiring telemetry and cardiac monitoring experience, NC or compact RN license, and 2+ years of relevant experience.

Details

• Step Down/PCU unit in a hospital setting with rapid response team support
• Patient population similar to ICU, excluding MI, GI bleeds, and DKA cases
• Target patient ratio of 1:4
• 12-lead ECG and cardiac monitor in every room with continuous pulse oximetry
• No ventilator management required on this unit
• Night shift schedule, 3x12-hour shifts, 18:45-07:15
• 13-week contract with option for 36 hours per week
• Rotating float requirement between Step Down and ICU units based on census
• No on-call requirements
• Weekend requirement of 6-12 shifts over a 13-week contract
• Self-scheduling available

Requirements

• Active RN license (NC or Compact) required
• BLS, ACLS, NIHSS, and Stroke Life Support certifications required
• Minimum 2 years of relevant RN experience required
• Meditech charting experience required
• Epic charting experience required
• Skills required include telemetry monitoring, dysrhythmia interpretation and management, IV therapy, central/peripheral line care, PICC line management, blood product administration, and phlebotomy
• Experience with cardiac drip management, heparin protocols, and IV insulin protocols required
• Respiratory skills required including BiPAP/CPAP, high-flow nasal cannula, ABG interpretation, and oxygen administration
• Wound care and isolation precaution/PPE experience required
• Charge nurse experience preferred
• Teaching hospital and community hospital experience preferred

Additional Information

• Provide step-down level nursing care for cardiac and neurological patients using continuous monitoring equipment
• Participate in rapid response and code team activations as needed
• Unit orientation is 24 hours, with hospital orientation during the first week requiring daily class attendance
• Must pass required testing/modules prior to start, with online pre-start modules (8-10 hours for acute care roles)
• Black scrubs required (not provided)
• Must work 2 of 3 major holidays
• RTO limited to 7 days maximum per contract, auto-approved if not falling on a holiday; no RTO permitted during the first week of assignment
• Local candidates accepted within 50 miles at a lower rate
• Previous Novant Health or New Hanover employees (perm/PRN/EP) must wait 12 months before applying, with facility approval required
• Travel pairs allowed if placed on different units and disclosed at submission
• First-time travelers will be considered, though some travel experience is preferred