Cardiac Stepdown RN
Manchester, NH
Access Healthcare
3x12 hrs, Days

Job Opportunity: Stepdown Cardiac Nurse (Travel/Contract)

Location: Manchester, New Hampshire
Employment Type: Travel/Contract
Contract Length: 13 weeks

Position Overview

• Specialty: Registered Nurse
• Unit: Emergency Department (ED) Holding / Cardiac Intensive Care Unit (CICU) Level holds within the ED
• Role: Care for inpatient/CICU level patients held in the ED
• Patient Diagnoses include:

  • 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

Required Experience & Skills

• Minimum 2 years of nursing experience
• Strong Progressive Care Unit (PCU) background within the last year required
• 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)

Certifications & Competencies

• ACLS (Advanced Cardiac Life Support) - AHA Provider only
• BCLS (Basic Life Support) - AHA Provider only
• EKG test on arrival (pass/fail testing required)
• Management and titration of drips (Lasix, Heparin, Cardizem, Amiodarone, Nitroglycerin, Integrillin, Labetalol, Dopamine, Dobutamine)
• Familiarity with special equipment: Bipap, Cpap, Vapotherm, Alaris Pumps, Phillips Monitoring System

Required Licensure

• Current, valid Registered Nurse (RN) license for New Hampshire

Background & Compliance Requirements

• Background check within 30 days of start including:

  • Social Security Verification
  • National Sex Offender Registry
  • National Criminal Search
  • FACIS Level 3
  • Education Verification
  • Criminal county/state searches (excluding NH counties; NH State Police search required instead)
  • Motor Vehicle Background Check if driving to patient homes (criteria apply)
• Drug screen: 10-panel within 14 days prior to start (with a 7-day grace period if pushed)
• Respiratory Safety Clearance questionnaire required
• Physical exam within 1 year prior to start
• Fit mask test annually (N95 or equivalent)
• Immunizations and titers required:

  • Tdap (within last 10 years)
  • Negative TB test or chest X-ray within 1 year
  • Measles, Mumps, Rubella (MMR) immunity or vaccination
  • Hepatitis B immunity or vaccination (declinations require waiver)
  • Varicella immunity or vaccination
  • Seasonal flu vaccination required during flu season (Oct 31 - Apr 1) or approved exemption
• Facility-specific immunization waivers and exemption forms may be required for religious or medical reasons

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
• Annual internal evaluation for travelers with 1+ year tenure
• Completion of facility orientation safety manual acknowledgment
• Pass/fail dysrhythmia/EKG competency exam within 48 hours of contract signing (specific to some units)
• Crisis Prevention Institute (CPI) certification preferred

Requirements/Qualifications

• Valid Registered Nurse (RN) license in New Hampshire
• Minimum 2 years of Progressive Care Unit (PCU) nursing experience, including experience within the last year
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
• Advanced Cardiac Life Support (ACLS) certification issued by the American Heart Association
• Basic Life Support (BLS) certification issued by the American Heart Association

Notes

• Prior travel experience is not explicitly required for this position.
• Candidates must be prepared for pass/fail testing and competency exams related to EKG and medication administration.
• Weekend shifts are required every other weekend.

This position offers an opportunity to work in a critical care stepdown environment with a focus on cardiac patients in an ED setting. Candidates should have strong PCU experience and be comfortable managing complex cardiac drips and monitoring equipment.