Cardiac Stepdown RN
Morgantown, West Virginia
Ruby Memorial Hospital

Registered Nurse – Cardiac Stepdown

Location: Morgantown, West Virginia
Contract Length: 13 weeks
Shift: Nights (12-hour shifts)
Hours per Week: 36 hours
Unit: 10 Southeast Heart & Vascular Institute
Unit Size: 32 beds (22 Stepdown, 12 Floor; all private rooms)
Nurse-to-Patient Ratios:

• Stepdown: 1 RN to 3 patients
• Floor: 1 RN to 6 patients

Unit Overview and Patient Population

• Cardiac Surgery Post-op patients including CABG, mid CABG, maze procedures, valve replacements, mitral clip, LVAD, heart transplants, TAVRs
• Vascular Surgery Post-op/procedures such as AAA repair, CEA, femoral bypass, angiograms, amputations
• Cardiology cases including STEMI, NSTEMI, heart failure, watchman device, cardiac cath procedures (PTCA, stents, ICDs, ablations, pacemakers)

Required Certifications and Skills

• BLS (Basic Life Support)
• ACLS (Advanced Cardiovascular Life Support)
• NIHSS (National Institutes of Health Stroke Scale)
• Cardiac and vascular nursing experience required
• Ability to titrate drips including heparin, amiodarone, Cardizem, TPA, Lasix, dobutamine

Staffing and Support

• Unit Charge Nurse and House Supervisors available 24/7
• Clinical Associates (nurse aides) with a ratio of approximately 1 CA to 8-10 patients (goal of 4-5 CAs per shift)
• Cardiac Monitor Technicians (CMTs) interpret telemetry strips on the unit; RNs also read strips
• Respiratory therapy equipment available: CPAP, BiPAP, high-flow oxygen

Scheduling and Work Environment

• Night shift only, three 12-hour shifts per week
• Weekend work required every other weekend
• Holiday shifts required as scheduled
• No call or standby requirement; overtime available
• Floating required to sister units within the Heart and Vascular Institute
• Unit dress code: solid royal blue and white scrubs
• Unit orientation: 2-3 shifts of unit-specific orientation provided
• Known for excellent patient care and a strong teamwork atmosphere

Submission and Eligibility Notes

• Candidates must have a driver’s license address located more than 50 miles from the facility
• Previous permanent candidates must have been off the unit for at least 2 years
• Previous travelers must have been off the unit for at least 2 years after completing 1 full year
• Travel teams must be submitted together
• Only 2 candidates submitted per opening; submissions held if position is full
• All submissions require an unexpired copy of the candidate’s driver’s license

Summary of Requirements

• Registered Nurse license appropriate for the state of West Virginia
• Minimum cardiac/vascular nursing experience (years not explicitly stated, but experience is required)
• BLS, ACLS, and NIHSS certifications current and valid
• Ability to titrate cardiac drips and manage complex cardiac and vascular post-op patients
• Willingness to work night shifts, weekends, holidays, and float within related units