Cardiac Stepdown PCU RN
Bowling Green, Kentucky
Float Pool The Medical Center

Stepdown Cardiac RN

Overview

• Per diem Registered Nurse assignment in Bowling Green, Kentucky
• Unit: Advanced Heart Care Stepdown Unit 5A
• Unit type: Cardiac Stepdown / PCU
• 22-bed unit with an average daily census of 22
• Adult cardiac and progressive-care patients
• Night shift, 12 hours: 7:00 PM - 7:30 AM
• Expected staffing ratio: approximately 1:5 on days, nights, and weekends
• Float is required

Contract Details

• Short-term contract running from November 30, 2026, through December 26, 2026
• Clinicians are generally expected to work three shifts per week
• Holiday coverage may be required

Required Qualifications

• Current Registered Nurse license eligible for practice in Kentucky
• Minimum one year of RN experience
• Current ACLS certification
• Current BLS certification
• Cardiac telemetry experience
• Progressive-care, PCU, DOU, IMC, or stepdown experience
• Ability to interpret dysrhythmias and respond to changes in cardiac status
• Ability to manage an approximately 1:5 assignment in a cardiac stepdown environment
• Ability to float and adapt to changing patient assignments and unit needs

Clinical Responsibilities

• Assess, plan, implement, and evaluate nursing care for adult cardiac stepdown patients
• Perform continuous cardiac telemetry monitoring
• Care for patients before and after cardiac catheterization, PCI, angiography, and other cardiac procedures
• Monitor and manage cardiac medications, heparin protocols, insulin therapy, and cardiac or vasoactive infusions
• Provide care for patients with pacemakers, pacing devices, arterial lines, central lines, PICC lines, and other invasive access
• Administer blood products, manage IV therapy, and perform phlebotomy
• Provide respiratory support within unit scope, including oxygen, nasal cannula, BiPAP/CPAP, high-flow nasal cannula, non-invasive airway management, and tracheostomy care
• Recognize and respond to deterioration, including rapid response or code activation
• Provide isolation precautions, wound care, patient education, care coordination, and discharge planning
• Float to other areas when assigned and provide care consistent with validated competency

Support Resources

• Medication dispensing: Omnicell
• Support services include interpretation services, pharmacy, phlebotomy, physical therapy, radiology, rapid response, respiratory therapy, social services, transportation, and unit secretary support
• In-house provider coverage includes intensivist, CRNA, hospitalist, and anesthesiologist coverage

Orientation and Onboarding

• Approximately 24 hours of facility orientation
• One admin day with Employee Health, Education, and HR, plus two bedside orientation days
• Unit-specific orientation and competency validation are provided
• First-time traveler acceptance is not indicated on the updated unit form; verify before presenting candidates