Stepdown Cardiac RN - ED Surge
Manchester, New Hampshire
Elliot Hospital

Job Opportunity: Stepdown Cardiac Nurse (Travel/Contract)

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

Job Description

• Assigned to Emergency Department (ED) Surge unit, specifically caring for inpatient/Cardiac Intensive Care Unit (CICU) level holds within the ED.
• Patient diagnoses include chest pain, syncope, heart failure, sepsis, overdose, GI bleed, COPD, pneumonia, trauma, oncology, orthopedic overflow, post-catheterization with stent (no CABG), ICD/pacer insertions, and cardioversions.
• Manage and titrate drips such as Lasix, Heparin, Cardizem, Amiodarone, Nitroglycerin, Integrillin, Labetalol, Dopamine, Dobutamine.
• Use specialized equipment including Bipap, Cpap, Vapotherm, Alaris Pumps, and Phillips Monitoring System.

Required Qualifications

• Valid RN license in New Hampshire
• Minimum 2 years of Cardiac Stepdown nursing experience, with Cardiac Stepdown experience within the last year
• Progressive Care Unit (PCU) experience
• ACLS certification issued by the American Heart Association
• BLS certification issued by the American Heart Association
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
• Experience with Epic electronic medical record system

Compliance and Background Requirements

• Complete Social Security Verification and background checks within 30 days prior to start, including:

  • National Sex Offender Registry
  • National Criminal Search
  • FACIS Level 3
  • Education Verification
  • Criminal county/state searches (excluding NH counties; NH State Police search required instead)
  • Motor Vehicle Background Check if driving to patient homes (for Home Health/Hospice roles)
• EPLS/GSA/SAM and HHS/OIG checks required within 30 days prior to start.
• Drug screening: 10-panel drug screen within 14 days prior to start (no exceptions).
• Physical exam within 1 year prior to start.
• Respiratory Safety Clearance questionnaire required.
• Two current professional references within the last 3 years, including one from a supervisor or charge RN.
• Employment application and skills checklist required.
• Annual internal evaluation required for travelers with 1+ year tenure.

Health and Immunization Requirements

• Negative TB test (2-step PPD, Qgold, or Tspot) within 1 year prior to start, or negative chest x-ray if past positive TB. Annual TB questionnaire required.
• Immunizations or immunity documentation required for:

  • Measles (Rubeola)
  • Mumps
  • Rubella
  • Hepatitis B (declinations accepted with waiver)
  • Varicella (history of disease not accepted)
  • Tetanus/Diphtheria/Tdap (within last 10 years; titers not accepted)
• Seasonal flu vaccination required annually between October 31 and April 1. Medical or religious exemptions allowed with proper documentation and facility-specific waiver forms.
• Hepatitis B vaccine waiver required if declining vaccine.
• Fit mask test annually (N95 or equivalent masks). CAPR training available on site if fit test fails.
• COVID-19 vaccination and other facility-specific immunization requirements may apply (not explicitly stated here).

Testing and Competency Requirements

• Pass/fail Basic Dysrhythmia (EKG) HealthStream exam onsite for certain units; passing score 80%.
• Basic Relias Pass/Fail Dysrhythmia EKG exam required within 48 hours of contract signing for Southern New Hampshire hospitals (not required for this facility). Two attempts allowed.
• Medication/Pharmacology competency exam required for internal purposes.
• Competency exam required for internal purposes.
• Pass/fail testing for EKG/medication awareness required for awareness and compliance.

Additional Facility Requirements

• Passport-style photo (jpeg) for badge.
• Proof of auto insurance required if driving to patient homes (Home Health/Hospice roles).
• Completion of OSHA education documentation (Orientation Safety Manual Acknowledgement).
• Management of Assaultive Behavior (MAB) certification preferred/required depending on unit.
• Crisis Prevention Institute (CPI) certification preferred.
• Various state-specific releases and authorizations required (e.g., NH Statewide Release).
• Facility-specific immunization waiver forms for flu, Hep B, and Tdap available for medical or religious exemptions.
• Background check and compliance attestations must be completed prior to clearance.

Notes

• Prior travel experience is not explicitly required for this position.
• First-time travelers are accepted only if they have EPIC experience and meet the 2-year experience requirement.
• Candidates cannot start with pending background or drug screens.
• Candidates must comply with all health, immunization, and competency requirements prior to start.
• Weekend shifts are every other weekend.
• The role involves working in a high-acuity ED setting with cardiac stepdown patients and requires strong critical care skills.

This position is ideal for experienced stepdown or progressive care nurses with cardiac knowledge seeking a travel contract in New Hampshire.