Cardiac Stepdown RN
Manchester, New Hampshire
Elliot Hospital

Registered Nurse – Stepdown Cardiac

Location: Manchester, New Hampshire Employment Type: Travel/Contract Contract Length: 13 weeks Shift: Night, 3x12 hours (19:00–07:30) Hours: 12 per day, 36 per week No holiday RTO allowed

Assignment

• Position: ED Surge. The traveler will be contracted to the ED unit to care for inpatient/CICU level holds in the ED.
• Float Scope: Helping hands/team nursing approach. May be floated to similar units. Will not be assigned a patient that does not match the clinical assignment or team.
• Weekend Requirement: Every other weekend (EOW)

Required Qualifications

• Valid RN license in New Hampshire
• Two years of cardiac stepdown experience, with recent cardiac stepdown experience within the last year
• First-time travelers accepted with 2 years of experience; not accepted with only 1 year
• ACLS (Advanced Cardiac Life Support) issued by American Heart Association or RQI, with EKG test on arrival
• BLS issued by American Heart Association or RQI
• Associate of Science in Nursing (ASN) / Associate Degree in Nursing (ADN)
• Experience with titratable drips, including Lasix, Heparin, Cardizem, Amiodarone, Nitroglycerin, Integrilin, Labetalol, Dopamine, and Dobutamine
• Experience with Epic

Certifications and Competencies Listed

• PALS
• TNCC
• Management of Assaultive Behavior (MAB)
• CPI (Crisis Prevention Institute preferred)
• NIH Stroke Certification (acceptable for 2 years if indicated on certificate)
• Basic Dysrhythmia exam, administered onsite with a passing score of 80%, for the Cardiac Intermediate Care Unit, ICU, ER, and urgent care units
• Medication/pharmacology competency exam
• Competency exam

Patient Population and Equipment

• Diagnoses: Chest pain, syncope, heart failure, sepsis, overdose, GI bleed, COPD, pneumonia
• Overflow: Medical, surgical, trauma, oncology, and orthopedic patients
• Procedures: Status post cath with stent only (no CABG), ICD/pacer insertions, cardioversions
• Equipment: BiPAP, CPAP, Vapotherm, Alaris pumps, Philips monitoring system

Clearance Requirements

• Background: 7-year background check within 30 days of start, including a NH State Police search, statewide and county searches, national criminal search, sex offender registry search, SSN verification, and OIG/SAM checks. A motor vehicle check is required if driving to patient homes.
• State Registry: New Hampshire BAAS State Registry results required for NH placements
• Drug Screen: 10-panel drug screen within 14 days prior to start, with no exceptions
• Education: Education verification required (high school education acceptable for CNAs)
• References: Two professional references within the last 3 years, one from a supervisor (charge RNs acceptable)
• Other Documents: Employment application, skills checklist, physical exam within 1 year prior to start, and RespSafety clearance
• TB: 2-step PPD, QuantiFERON, or T-SPOT within 1 year prior to start, plus an annual TB questionnaire
• Immunizations: Documented immunity or vaccination for measles, mumps, rubella, hepatitis B, and varicella, plus Tdap within the last 10 years (titers not accepted for Tdap)
• Flu: Vaccination or approved exemption required during flu season (10/1–4/1)
• Fit Testing: Annual N95 fit test required for clinical staff
• Badge Photo: Passport-style JPEG required