Registered Nurse – Cardiac Stepdown (ED Holding/CICU)
Manchester, NH
Access Healthcare
3x12 hrs, Days

Job Opportunity: Registered Nurse (Travel/Contract)

Location: Manchester, New Hampshire
Specialty: Registered Nurse – ED Holding/CICU (Emergency Department inpatient/CICU level holds)
Contract Length: 13 weeks

Job Description

• Contracted to the ED unit, specifically caring for inpatient/CICU level holds in the ED
• Must have 2 years of nursing experience, with a strong Progressive Care Unit (PCU) background within the last year
• Emergency Department (ED) experience preferred but not required
• First-time travelers accepted only if they have EPIC experience and 2 years of experience (no first timers with only 1 year experience)
• Weekend requirement: Every other weekend (EOW)
• Required certifications on arrival: ACLS, BCLS, EKG test

Patient Diagnoses

• Chest Pain
• Syncope
• Heart Failure
• Sepsis
• Overdose
• GI Bleed
• COPD
• Pneumonia
• Medical, Surgical, Trauma, Oncology, Orthopedic overflow
• Post-catheterization with stent (no CABG)
• ICD/Pacer insertions
• Cardioversions

Special Procedures / Unit Details

• Management and titration of drips (Lasix, Heparin, Cardizem, Amiodarone, Nitroglycerin, Integrillin, Labetalol, Dopamine, Dobutamine) required

Special Equipment

• Bipap
• Cpap
• Vapotherm
• Alaris Pumps
• Phillips Monitoring System

Required Certifications

• ACLS (AHA Provider only)
• BLS (AHA Provider only)
• EKG competency test on arrival
• Orientation Safety Manual Acknowledgement (OSHA education)
• State License (copy and verification required)
• Management of Assaultive Behavior (MAB) – online accepted
• Pass/Fail Testing (EKG/Medication) – Basic Dysrhythmia HealthStream Exam onsite with 80% passing score required for critical care units
• CPI (Crisis Prevention Institute) preferred
• Other certifications may be required depending on unit

Experience Requirements

• Minimum 2 years nursing experience with strong PCU background within the last year
• ED experience preferred but not mandatory
• Prior travel experience not explicitly required

Background Checks & Verifications

• Social Security Verification
• National Sex Offender Registry Search
• National Criminal Search
• FACIS L3
• Education Verification
• Criminal county/state searches (excluding NH counties; NH State Police Search required)
• Motor Vehicle Background Check (if driving to patient homes)
• EPLS/GSA/SAM and HHS/OIG checks
• Transcript/Diploma may be accepted if education verification pending
• Background check must be completed within 30 days of start date

Health & Immunization Requirements

• Physical exam within 1 year prior to start
• Annual fit mask test (N95 or equivalent)
• Tetanus/Diphtheria/Tdap vaccine within last 10 years (medical/religious exemptions allowed with documentation)
• Negative TB test or chest X-ray within 1 year (2-step PPD, Qgold, or Tspot)
• TB Questionnaire required for all travelers
• Immunity or vaccination documentation for:

  • Rubeola (Measles)
  • Mumps
  • Rubella
  • Hepatitis B (declinations accepted with waiver)
  • Varicella (history of disease NOT accepted)
• 10-panel drug screen within 14 days prior to start (7-day grace period allowed)
• Seasonal flu vaccination required during October 31 – April 1 period (medical/religious exemptions allowed with documentation)
• RespSafety clearance questionnaire required prior to start

Additional Requirements

• Two current professional references within the last 3 years (one must be from a supervisor or charge RN)
• Employment application and skills checklist required
• Internal evaluation required annually for travelers with Aya or agency for 1+ year
• Facility-specific documents such as photo for badge, insurance proof (if applicable), and compliance attestations

This position offers a challenging and rewarding opportunity to work in a critical care environment with diverse patient populations and requires strong clinical skills, certifications, and compliance with facility and regulatory requirements.