Step Down RN
Mount Airy, North Carolina
Novant Health Northern Regional Hospital

Step Down RN

Overview

• Travel/Contract role in Mount Airy, North Carolina
• 13-week contract
• Night shift: 3x12 hours, 18:45–07:15
• 36 hours per week
• Target ratio: 1:4
• Self-scheduling
• No call requirement
• RTO after booking is not allowed

Required Qualifications

• Valid RN license in North Carolina
• Associate of Science in Nursing / Associate Degree in Nursing
• PCU - Progressive Care Unit (2 years of experience)
• PCU - Progressive Care Unit experience within the last year
• ACLS - Advanced Cardiac Life Support issued by American Heart Association or American Red Cross
• BLS issued by American Heart Association or American Red Cross
• NIHSS
• Stroke Life Support
• Experience working with Cardiac patients
• Experience working with Neuro patients
• Experience with cardiac drips
• Experience with titratable drips
• Experience with the care and management of invasive lines
• Experience with BiPAP
• Experience with CPAP
• Experience with wound care
• IV insertion skills
• Interpretation and management of dysrhythmias
• Experience with Meditech

Preferred

• Previous charge experience
• Teaching hospital experience
• Community hospital experience
• Some travel experience preferred, though first-time travelers are accepted

Unit Details

• Step-down/ICU and ICU float coverage when census is low
• Similar to ICU, except no MI, GI bleeds, or DKA
• 12 lead ECG
• Cardiac monitor in every room
• Continuous pulse oximetry
• No vents

Skills and Experience

• Cardiac Telemetry
• MS/Tele
• Neuro Stepdown
• PCU/DOU/IMC/Stepdown
• Telemetry
• Interpretation and management of dysrhythmias
• Telemetry monitoring on the unit and remotely
• Rapid Response/Code team use
• IV insulin protocols
• Feeding tube care and management
• Accessing/managing ports
• Blood product administration
• Central line care/management
• Peripheral line care/management
• Phlebotomy
• PICC line management
• Starting and maintaining IVs
• Heparin protocols
• Cardiac drip management, including titration
• CVA
• Substance withdrawal
• Mastectomy
• Surgical drains
• BiPAP/CPAP management
• High Flow Nasal Cannula (HFNC)
• ABG interpretation
• Nasal cannula
• Oxygen administration
• Oxygen tanks
• Isolation precautions/PPE
• Wound care/Wound Vac

Additional Notes

• Black scrubs required and not provided