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

Tele/Stepdown RN - Cheyenne, Wyoming

Assignment Details

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

Patient Population & Care

• Pre/post cardiac procedures including:

  • Femoral and radial heart catheterizations
  • Cardioversions on the floor
  • Cardiothoracic surgery patients (post-thoracotomy, CABG 24 hrs out)
  • Stents, post PCI, vascular procedures
  • NSTEMI patients
• Patients with tracheostomies (home vented, BiPAP, CPAP), chest tubes
• Pacemaker wire removal typically done in ICU

Nurse to Patient Ratios

• Day shift: 1:4
• Night shift: 1:4-5
• Nurse aides: 1:8 days, 1:12 nights
• Charge nurse: Day charge does not take patients; night charge takes 1-2 patients
• Rapid response nurse (ARR) available

Required Skills & Experience

• Specialty: Tele/Stepdown RN with cardiac experience
• Experience: Must be experienced with pre/post heart patients including stents, pacemakers, ICDs, CABG, and vascular procedures
• Certifications: BLS and ACLS required; NIHSS preferred
• Drip Management: Some drips titrated by RNs (e.g., Cardizem, amiodarone, dopamine, nitro); dobutamine and dopamine generally non-titratable
• Telemetry: Monitor techs handle monitoring and documentation; RN does not need to be an expert at telemetry strip reading
• Respiratory Equipment: Experience with BiPAP, CPAP, and home vents helpful but home vent experience not required

Additional Notes

• Preference for nurses with stepdown experience over general telemetry
• Heavy cardiac and cardiothoracic surgical patient population with high acuity
• Permanent address must be at least 25 miles from facility location

Prior Travel Experience

• Not explicitly required or mentioned

This position is ideal for experienced Tele/Stepdown RNs with strong cardiac skills looking for a 13-week assignment in Wyoming with a focus on high-acuity cardiac patients.