Stepdown Cardiac RN
Manchester, New Hampshire
Elliot Hospital

Job Opportunity: Stepdown Cardiac Registered Nurse (Travel/Contract)

Location: Manchester, New Hampshire
Specialty: Registered Nurse – ED Holding/CICU (Stepdown Cardiac)
Contract Length: 13 weeks

Position Overview

• Contracted to the Emergency Department (ED) unit, specifically caring for inpatient/CICU level holds in the ED.
• Manage patients with cardiac and critical care needs in a stepdown setting.

Experience Requirements

• Minimum 2 years of nursing experience required.
• Must have a strong Progressive Care Unit (PCU) background within the last year.
• 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 shifts required every other weekend (EOW).

Certifications Required

• ACLS (Advanced Cardiac Life Support) – AHA Provider only
• BCLS (Basic Life Support) – AHA Provider only
• EKG test on arrival

Patient Diagnoses Commonly Seen

• 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

Unit and Procedural Details

• Manage and titrate drips (common drips include Lasix, Heparin, Cardizem, Amiodarone, Nitroglycerin, Integrillin, Labetalol, Dopamine, Dobutamine) – required
• Use of special equipment such as Bipap, Cpap, Vapotherm, Alaris Pumps, Phillips Monitoring System

Background and Compliance Requirements

• Comprehensive background check within 30 days of start, including:

  • Social Security Verification
  • National Sex Offender Registry
  • National Criminal Search
  • Education Verification
  • State and county criminal searches (excluding NH counties; NH State Police search required)
  • BEAS State Registry (New Hampshire)
• Drug screening: 10-panel drug screen within 14 days prior to start (with a 7-day grace period if needed)
• Respiratory Safety Clearance (RespSafety virtual questionnaire) required for all clinical travelers
• Two current professional references within the last 3 years, including one from a supervisor or charge RN
• Employment application and skills checklist required

Health and Immunization Requirements

• Physical exam within 1 year prior to start
• Annual fit mask test (N95 or equivalent) required
• Tdap vaccine administered after age 19 and within the last 10 years (medical or religious exemptions allowed with documentation)
• Negative TB test or chest x-ray within 1 year prior to start (2-step PPD or equivalent)
• TB Questionnaire required for all travelers
• Immunity or vaccination documentation required for:

  • Rubeola (Measles)
  • Mumps
  • Rubella
  • Hepatitis B (declinations accepted with waiver)
  • Varicella (history of disease NOT accepted)
• Seasonal flu vaccination required during October 31 – April 1 period (medical or religious exemptions allowed with documentation)

Competency and Testing Requirements

• Pass/fail Basic Dysrhythmia EKG exam within 48 hours of contract signing (specific to certain units)
• Medication/Pharmacology competency exam required (for internal purposes)
• Competency exam required (for internal purposes)
• Pass/fail testing for EKG/medication awareness required on-site for critical care units

Additional Notes

• Prior travel experience is not explicitly required for this position.
• Facility requires documentation and compliance with OSHA education and safety manuals.
• Various facility-specific waivers and attestations may be required for vaccine exemptions and compliance.

This position is ideal for experienced RNs with a strong PCU background looking to work in a critical care stepdown environment within a travel contract role.