Cardiac Telemetry Stepdown RN
Cheyenne, WY
Host Healthcare
3x12 hrs, Days
Referral Bonus

Tele/Stepdown RN - Cheyenne, Wyoming

Assignment Details

• Contract Length: 13 weeks
• Location: Near Colorado border, Wyoming
• Unit Type: Stepdown/Telemetry with a focus on cardiac and cardiothoracic patients
• Beds: 24
• Shift: 12-hour shifts (6:45 AM - 6:45 PM)
• Scheduling: Block scheduling and self-scheduling allowed, more flexibility on night shifts
• Weekend Requirement: Every other weekend or 4 weekend shifts per month
• Holiday Requirement: Rotation every other holiday (New Year's, 4th of July, Thanksgiving, Christmas, Memorial Day, Labor Day)
• Call/Standby: None
• Floating: Possible, with permanent staff rotation
• Orientation: 2-3 shifts
• Dress Code: Navy blue scrubs

Patient Population & Care

• Common Diagnoses:

  • Pre/post cardiac procedures (stents, pacemakers, ICDs, CABG, vascular procedures)
  • Femoral and radial heart catheterizations
  • Cardioversions on the floor
  • Post-thoracotomy (directly from PACU)
  • NSTEMI
  • Tracheostomies (home vented, BiPAP, CPAP)
  • Chest tubes
• Nurse:Patient Ratios:

  • Days: 1:4
  • Nights: 1:4-5
• Nurse Aide Ratios:

  • Days: 1:8
  • Nights: 1:12
• Telemetry Monitoring:

  • Monitor techs handle monitoring, measuring, and documenting
  • RNs do not need to be telemetry experts or read their own strips

Required Experience & Skills

• Specialty: Tele/Stepdown RN with cardiac focus
• Years of Experience: Experienced with pre/post heart patients including stents, pacemakers, ICDs, CABG, and vascular procedures (implied minimum experience required)
• Certifications: BLS and ACLS required; NIHSS preferred
• Skills:

  • Experience with titrating drips (some drips titrated, some not)
  • Common drips include Cardizem, amiodarone, dopamine, nitroglycerin, dobutamine, and integrilin
  • Experience with cardiac surgical patients and high acuity care
• Ventilator Experience: BiPAP, CPAP, and home vents present; home vent experience not required

Additional Notes

• Preference for more stepdown nurses than telemetry nurses
• Heavy cardiac and cardiothoracic surgical patient population
• No call required
• Permanent address must be at least 25 miles from the facility location