Cardiac Stepdown RN
Durham, North Carolina
Duke University Hospital

Job Opportunity: Registered Nurse - Stepdown Cardiac

Location: Durham, North Carolina
Employment Type: Travel/Contract
Contract Length: 10 weeks (approximate)
Start Date: Targeted 4/20/2026
End Date: 6/30/2026
Shift: Days

• Includes 6 weekend shifts (Saturday/Sunday), 4 Mondays, and 4 Fridays
• On-call required
• Floating between PCU, Stepdown, and IMCU units

Job Description

Seeking a Registered Nurse with experience in Stepdown/Cardiac care. The role involves working in a cardiac telemetry/stepdown environment with responsibilities including patient care and charting in EPIC.

Requirements/Qualifications

• Valid RN license in North Carolina
• Minimum 2 years of telemetry experience, including telemetry experience within the last year
• Experience in Progressive Care Unit (PCU) or similar stepdown units
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
• Current ACLS certification issued by the American Heart Association
• Current BLS certification issued by the American Heart Association
• Experience with Epic electronic health record system

Schedule Details

• Day shift with a mix of weekdays and weekends as noted
• No blocked scheduling available
• Floating required across PCU, Stepdown, and IMCU units

Orientation & Other Details

• Orientation sessions held bi-weekly
• Scrub color: Royal Blue
• Local candidates within 75 miles considered with adjusted pay (note: pay details excluded)
• Local candidates are welcome

Required Documentation & Compliance

• Background checks including SSN trace, county checks, sex offender, education verification, and others must be completed within 90 days of start
• Drug testing: Negative 10-panel drug screen (including THC) within 30 days of start
• Physical exam within 12 months of start
• Immunizations and health documents required:

  • Negative TB test or chest X-ray within 12 months
  • Tetanus/Diphtheria/Tdap (every 10 years)
  • Measles, Mumps, Rubella vaccination or immunity proof
  • Hepatitis B vaccination/titer or declination
  • Varicella vaccination or immunity proof
  • Seasonal flu vaccination (declinations not accepted)
  • Polio vaccine or attestation
• References: 2 professional references from employment within last 12 months, at least one supervisor
• Employment application and skills checklist required and must be current

Additional Requirements

• Must set up a guest account prior to clearance for access to orientation and work systems
• Competency exams and unit-specific training required during orientation
• Pass/fail testing on EKG/medication knowledge (except RRTs) during orientation
• Crisis Prevention Institute (CPI) training provided onsite if applicable

This position is suitable for both travel nurses new to contracts and local nurses seeking temporary assignments in cardiac stepdown care.