Cardiac Stepdown RN
Morgantown, West Virginia
Ruby Memorial Hospital

Registered Nurse (Cardiac Stepdown) - Morgantown, West Virginia

Position Details

• Specialty: Cardiac Stepdown (9SE)
• Shift: Nights
• Hours: 12-hour shifts, approximately 36 hours per week
• Contract Length: 13 weeks
• Unit Size: 32 beds total (22 stepdown beds, 10 floor beds)
• Nurse-to-Patient Ratios:

  • Stepdown: 1:3
  • Floor: 1:5 or 1:6

Patient Population & Care

• Common diagnoses include cardiology cases such as heart failure, cardiac surgery, and general medicine/hospitalist (med-surg).
• RNs are required to titrate drips including heparin, insulin, nitroglycerin, Cardizem, nicardipine, Lasix, amiodarone, and dobutamine.
• Respiratory equipment used includes nasal cannula, CPAP, BiPAP, high-flow nasal cannula, and trach to vent (with dedicated respiratory therapist support).

Staffing & Support

• Dedicated charge nurse on the unit per shift; may take 1-3 patients depending on staffing.
• Clinical associates (nurse aides) support the unit; typically 2 overnight (1:16 ratio), budgeted for 4 (1:8 ratio).
• Telemetry techs monitor cardiac strips remotely using Phillips monitoring systems; RNs do not read their own strips.

Scheduling & Work Requirements

• Self-scheduling is allowed with flexibility and block scheduling options.
• Weekend nightshift requires working every Friday, Saturday, and Sunday.
• Nightshift weekend schedule includes 3-4 Saturdays and Sundays, plus 2 Fridays and 2 Mondays in a 4-week period.
• Holiday coverage includes one evening and one day shift on major holidays (e.g., Black Friday or Thanksgiving, Christmas Eve or Christmas Day, New Year’s Eve or Day).
• No call or standby requirements.
• Floating is required; travelers are first to be pulled off the unit if needed, with rotational floor assignments about 1 out of every 3 shifts.

Required Certifications & Licenses

• Current RN license appropriate for West Virginia.
• BLS (Basic Life Support) - American Heart Association
• ACLS (Advanced Cardiovascular Life Support) - American Heart Association
• NIHSS (National Institutes of Health Stroke Scale) certification

Experience

• Cardiac nursing experience preferred.
• RNs must be comfortable titrating drips and managing cardiac stepdown patients.

Orientation & Dress Code

• Unit-specific orientation provided.
• Dress code: Royal blue scrubs.

Additional Notes

• Any license issues must be disclosed at time of application.