Cardiac Stepdown RN
Pinehurst, North Carolina
FirstHealth Moore Regional Hospital

Stepdown Cardiac Float Pool Registered Nurse

Location: Pinehurst, North Carolina Facility Type: Acute care hospital, 402 staffed beds Employment Type: Travel/Contract Contract Length: 13 weeks Start: ASAP Schedule: Day shift, 3x12 hours (7:00 to 19:00), 36 hours per week

Role Details

• Stepdown float pool. Rotates between multiple stepdown units, going to the unit of greatest need.
• Ratio: 1:4
• Charting system: EPIC (software familiarity, not a credential)
• Scrubs: any solid color (ER: solid black; OR/L&D: provided)
• 7 days max RTO
• Facility unable to accommodate RTO during major holiday weeks

Required Qualifications

• Valid RN license in North Carolina
• 1 year of cardiac stepdown experience, with experience within the last year
• BLS issued by American Heart Association or American Red Cross
• Associate of Science in Nursing / Associate Degree in Nursing
• Experience with Epic

Certifications

• ACLS: Required based on unit/specialty; required for Outpatient Surgery and RRT; not required for OR RNs. Must be AHA or ARC.
• BLS: Required based on unit/specialty; required for RRT and all RNs. Must be AHA or ARC.
• PALS: Required for PACU, RRT, and Med/Neuro ICU; preferred for Outpatient Surgery. Must be obtained within 3 weeks of start. Must be AHA or ARC.
• NRP: Required based on unit/specialty
• STABLE: Required for all NICU RNs; cannot be pending at start
• NIH Stroke Certification: Required. ERAHA or Apex certificates accepted. Valid for 2 years unless the certificate states otherwise.
• CPI (Crisis Prevention Institute): Required for ER and Psych. Can be completed onsite with approval if not finished before start; the candidate must notify the facility to arrange a course. Must be from the approved vendor list. CPI Blue Card and online CPI courses from the approved list are acceptable.

Preferred Qualifications

• CHEMO (Chemotherapy): Preferred; not required for Oncology RNs
• TNCC (Trauma Nursing Core Course): Preferred; not required for ER RNs

Competencies and Compliance

• Medication/Pharmacology competency exam: required as applicable to profession
• Competency exam: required as applicable to profession/specialty
• Online color blind testing: required for all candidates
• Dysrhythmia/EKG competency exam: required for ICU, PCU/Stepdown, ER, Inpatient Rehab, Labor and Delivery, Outpatient, and Post Partum (Mother/Baby)
• Orientation safety manual acknowledgement: required annually
• Skills checklist: required annually

Health Requirements

• Physical exam: Within 1 year of start; does not need annual update
• Tdap: Within 10 years of start
• TB: PPD within 3 months (must state "Negative"), or QuantiFERON-Gold/T-SPOT within 1 year. Must be updated annually.

  • Candidates with a documented positive TB test must provide a clear chest X-ray within 5 years of start and complete an annual TB questionnaire.
• Measles (Rubeola), Mumps, Rubella, Varicella: Positive titer, or 2 vaccines (dated before or after a low/equivocal titer). Without prior vaccine records, 2 boosters are required; may start with the 2nd booster pending.
• Hepatitis B: Series, titer, or declination
• Drug screen: 10-panel within 30 days of start (includes marijuana, cocaine, methamphetamine/amphetamines, opiates, phencyclidine, barbiturates, benzodiazepines, methadone, and MDMA/MDA). An additional screen is completed at orientation.
• Flu: 2026-27 flu vaccine or medical/religious exemption required during flu season (11/15 to 03/31). Exemptions must use the facility form and be approved. Approved exemptions require wearing a mask in all patient care areas. Medical exemptions must be completed by a physician or licensed independent practitioner.

Onboarding

• Module login details are sent within 48 to 72 hours after contract signing.
• Modules may take up to 21 hours, depending on specialty.
• The complete file, including modules, is due 6 business days before start.
• Final module deadline: Wednesday before start at 3:00 PM EST.