Travel Nurse RN - Cardiac Stepdown
Manchester, NH
LanceSoft
3x12 hrs, Nights

Registered Nurse (RN) – Stepdown Cardiac / ED Surge

Location: New Hampshire
Start Date: 08/10/2026
Duration: 13 Weeks
Shift: Nights
Schedule: 3 x 12-Hour Shifts (7:00 PM - 7:30 AM)

Job Description

Seeking an experienced Registered Nurse (RN) with a strong PCU/Stepdown background to provide care for cardiac and inpatient holds within an Emergency Department setting. This position requires managing a diverse patient population with cardiac, medical, and surgical diagnoses while utilizing advanced cardiac monitoring and medication management skills.

Responsibilities

• Provide nursing care for cardiac intermediate care and inpatient hold patients
• Monitor and interpret telemetry and dysrhythmias
• Manage and titrate cardiac and vasoactive drips
• Perform comprehensive patient assessments and interventions
• Collaborate with interdisciplinary teams to ensure quality patient care
• Respond to rapid response and emergency situations as needed
• Maintain accurate documentation in Epic EMR

Schedule & Coverage

• Night Shift: 7:00 PM - 7:30 AM
• 3 shifts per week
• Every Other Weekend (EOW) required
• One pre-approved time-off request permitted
• No block scheduling

Requirements

• Minimum 2 years of RN experience
• Strong PCU/Stepdown experience within the last year required
• ED experience preferred but not required
• First-time travelers accepted with Epic experience and minimum 2 years of nursing experience
• Experience with a 1:4 patient ratio preferred

Required Certifications

• BLS (AHA)
• ACLS
• EKG competency test upon arrival

Required Skills

Cardiac & Critical Care

• Telemetry monitoring
• Dysrhythmia management
• Cardiac drip titration
• Vasoactive drip titration
• Post-cardiac catheterization care
• Cardiac angiogram recovery care

Respiratory

• BiPAP/CPAP management
• High Flow Nasal Cannula (HFNC)
• Non-invasive airway management
• Oxygen administration

IV Therapy

• Blood product administration
• Peripheral IV care and management

Professional Practice

• Isolation precautions/PPE
• Team nursing approach
• Patient safety and emergency response

Common Patient Diagnoses

• Chest Pain
• Syncope
• Heart Failure
• Sepsis
• Overdose
• GI Bleed
• COPD
• Pneumonia
• Medical/Surgical overflow patients
• Trauma
• Oncology
• Orthopedic patients
• Post-cardiac catheterization with stent placement
• ICD/Pacemaker insertions
• Cardioversion patients

Common Drips

Experience managing and titrating:

• Heparin
• Cardizem
• Amiodarone
• Nitroglycerin
• Dopamine
• Dobutamine
• Lasix
• Labetalol

Equipment Experience Preferred

• BiPAP
• CPAP
• Vapotherm
• Alaris Pumps
• Cardiac Monitoring Systems

Floating Expectations

• Team Nursing/Helping Hands model
• May float to similar units based on patient care needs
• May assist with patient sitting responsibilities
• Will not be assigned patients outside clinical competency

Additional Notes

• No Thanksgiving RTO accepted
• Flu vaccine required (medical/religious exemptions only)
• COVID-19 vaccine not required
• Travel experience not required for qualified candidates with Epic experience and required clinical background.