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

Job Opportunity: Cardiac Stepdown RN

Location: Cheyenne, Wyoming
Contract Length: 13 weeks

Job Description

Seeking an experienced Tele RN for a 13-week assignment in a cardiac stepdown unit near the Colorado border. The unit is a 24-bed cardiac stepdown/telemetry floor with a focus on high acuity cardiac and cardiothoracic surgical patients.

Unit Details

• Beds: 24
• Nurse-to-Patient Ratios:

  • Days: 1:4
  • Nights: 1:4-5
• Shift Hours: 12-hour shifts (6:45 AM - 6:45 PM)
• Scheduling: Block scheduling and self-scheduling allowed, more flexibility on nights
• Weekend Requirements: Every other weekend or 4 weekend shifts per month, flexible
• Holiday Requirements: 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
• Dress Code: Navy blue scrubs

Patient Population & Common Diagnoses

• Pre/post cardiac procedures including femoral and radial heart caths
• Cardioversions on the floor
• Cardiothoracic patients, post-thoracotomy (directly from PACU)
• CABG patients (24 hours post-op)
• Stents, post PCI, vascular procedures
• NSTEMI patients
• Patients with trachs (home vented, bipap, cpap) and chest tubes
• Pacemaker wire removal typically done in ICU

Required Experience & Skills

• Specialty: Cardiac Stepdown / Telemetry
• Years of Experience: Must be experienced with pre/post heart patients including stents, pacemakers, ICDs, CABG, and vascular procedures (higher years of experience requirement applies if conflicting data)
• Experience with titrating drips (some drips titrated, some not)
• Familiarity with common drips: Cardizem, amiodarone, dopamine, nitro, dobutamine, integrelin
• Ability to work with monitor techs who handle monitoring and documentation; RN does not need to be an expert in telemetry strip reading
• Experience with bipap, cpap, and home vents helpful but home vent experience not required

Certifications Required

• BLS (Basic Life Support)
• ACLS (Advanced Cardiovascular Life Support)
• NIHSS preferred but not required

Orientation & Additional Notes

• Unit-specific orientation: 2-3 shifts
• Preference for stepdown nurses over telemetry nurses due to high acuity surgical cardiac patients
• Permanent address must be at least 25 miles from the facility location

Summary

This is a challenging and rewarding assignment for experienced cardiac stepdown RNs who are comfortable managing complex cardiac and cardiothoracic patients in a supportive team environment with flexible scheduling options.