Stepdown Cardiac Nurse
Manchester, New Hampshire
Elliot Hospital

Job Opportunity: Stepdown Cardiac Nurse (Travel/Contract)

Location: Manchester, New Hampshire
Employment Type: Travel/Contract
Shift: Night (3 shifts per week, 12 hours each, 7:00 PM – 7:30 AM)
Contract Length: 13 weeks

Job Description

• Position specialty: Emergency Department (ED) Surge nurse assigned to inpatient/CICU level holds within the ED.
• Patient diagnoses commonly encountered: Chest pain, syncope, heart failure, sepsis, overdose, GI bleed, COPD, pneumonia, medical/surgical/trauma/oncology/orthopedic overflow.
• Procedures and care: Management and titration of drips (Lasix, Heparin, Cardizem, Amiodarone, Nitroglycerin, Integrillin, Labetalol, Dopamine, Dobutamine).
• Equipment used: Bipap, Cpap, Vapotherm, Alaris pumps, Phillips monitoring system.
• Floating expectations: Assist with team nursing, floated to similar units, patient sitting; no assignment outside clinical expertise.
• Weekend requirement: Every other weekend (EOW).

Required Qualifications

• Valid RN license in New Hampshire
• Minimum of 2 years of Cardiac Stepdown nursing experience, including experience within the last year
• Progressive Care Unit (PCU) experience
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
• Current ACLS certification
• Current BLS certification issued by the American Heart Association
• Trauma Nursing Core Course (TNCC) certification
• Medication Administration by IV Push (MAB) certification
• Crisis Prevention Intervention (CPI) certification
• National Institutes of Health Stroke Scale (NIHSS) certification

Compliance and Background Requirements

• Background check within 30 days of start, including:

  • Social Security verification
  • National sex offender registry
  • National and state criminal searches (excluding NH counties; NH State Police search required instead)
  • Education verification (high school acceptable for CNAs)
  • Motor vehicle background check if driving is required
• Drug screening: 10-panel drug screen within 14 days prior to start (no exceptions).
• Health documents required:

  • Physical exam within 1 year prior to start
  • Annual fit mask test (N95 or equivalent)
  • Immunizations and titers: Tdap (within 10 years), TB test (2-step PPD, Qgold, or Tspot within 1 year), Measles, Mumps, Rubella, Varicella, Hepatitis B (vaccination or waiver accepted)
  • Seasonal flu vaccination required during October 31 – April 1 period (medical or religious exemptions allowed with documentation)
  • Respiratory safety clearance questionnaire completed prior to start
• Facility-specific attestations and acknowledgments, including OSHA education and compliance attestations.

Additional Information

• Orientation includes pass/fail Basic Dysrhythmia HealthStream exam onsite with a passing score of 80%.
• SSA release and state-specific releases (NH and MA if applicable) required for background verification.
• Photo for badge (passport style, jpeg format) required.
• Auto insurance proof required if driving is part of the job.
• Candidates with Hepatitis B vaccine declination must complete a waiver.
• Candidates requesting medical or religious exemptions for vaccines must provide appropriate documentation and complete facility-specific waiver forms.

Summary

This is a night shift travel nursing opportunity for a Stepdown Cardiac nurse with a minimum of 2 years of experience, strong PCU background, and required certifications (ACLS, BLS). The role involves caring for complex cardiac and critical care patients held in the ED, managing drips, and working with advanced monitoring equipment. Compliance with extensive background checks, immunizations, and facility-specific requirements is mandatory. Weekend work every other week is required. First-time travelers are accepted only with EPIC experience and 2 years of nursing experience.