Step Down RN
Lillington, NC
Care Career
3x12 hrs
Referral Bonus

Job Details

• Position: Registered Nurse (RN) – PCU / Medical-Surgical / Telemetry
• Facility: Harnett Health
• Location: Harnett County, North Carolina
• Shift: Night Shift, 7:00 PM – 7:00 AM
• Schedule: 3x12-hour shifts
• Contract Length: 13 weeks
• Guaranteed Hours: Contracted shifts guaranteed after the 2-shift call-off allowance is used
• Weekend Requirement: Every other weekend
• On-Call: None
• Orientation: 36 hours
• Holiday Requirement: Holidays required
• Floating: Required between both campuses and other Harnett Health locations as needed

Requirements

• Minimum 3 years of ER experience listed in the initial requirements; facility compliance requires at least 2 years of applicable experience.
• Certifications: BLS, ACLS, NIHSS
• Active state or Compact RN license required at submission.
• Epic experience required.
• Step-down competencies required, along with the ability to care for Medical/Telemetry patients.
• Must be willing to float between campuses and affiliated facilities.
• Advanced EKG exam required for Step Down, Telemetry, and Med/Tele specialties.
• Previous charge experience preferred.
• Community hospital experience preferred.
• First-time travelers accepted.
• Interview availability must be provided at submission.

Job Description / Responsibilities

• Provide nursing care to adult and geriatric patients in a mixed-acuity PCU/Medical-Telemetry unit.
• Monitor cardiac telemetry and interpret dysrhythmias.
• Care for patients with cardiac, respiratory, neurological, and general medical conditions.
• Manage central lines, ports, PICC lines, chest tubes, feeding tubes, and tracheostomies.
• Administer blood products and manage heparin and insulin protocols.
• Manage cardiac and vasoactive drips without titration.
• Perform post-cardiac catheterization and post-MI care.
• Provide oxygen therapy, HFNC, BiPAP/CPAP, and non-invasive airway management.
• Respond to rapid response and code situations.
• Perform wound care and wound VAC management.

Facility / Unit Information

• Facility Type: Short-Term Acute Care
• Trauma Level: Level III Trauma Center
• Facility Designation: Teaching Hospital
• Total Staffed Beds: 733
• Charting System: Epic
• Scrub Color: Royal Blue and White
• Patient Population: Adults and Geriatrics
• Unit Beds: 10
• Unit Rooms: 10
• Patient Ratio: 1:6 listed in the initial requirements; unit-specific staffing details below.
• Staffing: 2 RNs and 1 Nursing Assistant
• Unit Type: New mixed-acuity unit connected to the SCU (CCU/SDU level of care).
• Unit Capacity:
  • 4 beds equipped for step-down patients.
  • 6 beds designated for Medical/Telemetry.
  • Capacity depends on patient acuity.
  • Up to 8 patients when all require step-down care.
  • Up to 10 patients when all are Medical/Telemetry, with each RN managing 5 patients.
• Common Diagnoses: CAD, pre/post cardiac cath, CHF, COPD, stroke rule-out, pneumonia, altered mental status, UTI, sepsis, and sickle cell disease.