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

Assignment Overview

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

Description

American Traveler is hiring an experienced RN for a Stepdown Cardiac/PCU position within the ED requiring strong recent PCU background and cardiac drip titration skills.

Details

• Night shift, 3x12 hours (19:00-7:30)
• Contracted to the ED unit, specifically caring 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 as needed
• Cares for post-cath stent patients (no CABG), ICD/pacer insertions, and cardioversions
• Manages and titrates cardiac drips including Lasix, Heparin, Cardizem, Amiodarone, Nitroglycerin, Integrillin, Labetalol, Dopamine, and Dobutamine
• Uses BiPAP, CPAP, Vapotherm, Alaris pumps, and Phillips monitoring system
• Patient ratio of 1:4
• Every other weekend required
• Floating expected to similar units using a team nursing/helping hands approach
• Will not be assigned patients outside clinical scope or team assignment

Requirements

• Active RN license (NH state or Compact) required
• 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 experience required for first-time travelers
• Skilled in cardiac monitoring, dysrhythmia management, and rapid response/code team coordination
• Experience managing and titrating vasoactive and cardiac drips
• Experience with BiPAP/CPAP management and non-invasive airway management
• Skilled in IV therapy, phlebotomy, and peripheral line care
• Wound care/wound vac and chest tube management experience preferred
• EKG test required upon arrival
• Professional references required, with one pending reference accepted to begin consideration

Additional Information

• Care team approach with floating to similar units as needed based on census
• No holiday RTO allowed during this assignment
• First-time travelers accepted only with EPIC experience and at least 2 years of RN experience
• Previous employees of the facility are not eligible for consideration
• Local candidates within 50 miles are accepted at the local rate
• Drug screening must be completed within 14 days of the start date