Travel Nurse RN - Cardiac Stepdown

Talent4

Health is seeking a travel nurse RN Cardiac Stepdown for a travel nursing job in Cheyenne, Wyoming.

• Specialty:
  Cardiac Stepdown
• Discipline:
  RN
• Start Date:
  
  08/11/2026
• Duration:
  13 weeks
• 36 hours per week
• Shift:
  12 hours, nights
• Employment Type:
  
  Travel

Cardiac Stepdown RN 1 year exp

Required Certifications

ACLS, BLS Certification RN WY/compact license

Cardiac Stepdown Unit Notes

• Paperwork Due: Wednesday at 12:00 PM MST the week before the assignment starts.
• Permanent Address Requirement: Must be at least 25 miles from the facility.

• Beds: 24
• Nurse-to-Patient Ratios:
  • Days: 1:4
  • Nights: 1:4–5

• BLS
• ACLS
• NIHSS (preferred)

• Pre/post cardiac procedures
• Heart catheterizations (femoral & radial)
• Cardioversions (performed on the floor)
• Cardiothoracic surgery patients
• Post-thoracotomy (directly from PACU)
• CABG patients (24 hours post-op)
• Post-PCI patients
• Coronary stents
• Vascular procedures
• NSTEMI
• Tracheostomy patients
• Home ventilator patients
• Tracheostomy patients requiring BiPAP/CPAP
• Chest tubes
• Note: Pacer wires are typically removed in the ICU.

Candidates should have experience with:

• Pre/post heart catheterization patients
• Coronary stents
• Pacemakers
• ICDs
• CABG (pre/post-op)
• Vascular surgery (pre/post-op)

Preference: Strong cardiac stepdown experience rather than general telemetry experience.

RN Titration:

• Some drips are titratable; some are not.
• Non-titratable: Dobutamine, Dopamine
• Common drips:
  • Cardizem
  • Amiodarone
  • Dopamine
  • Nitroglycerin
  • Dobutamine
  • Integrilin

• Monitor technicians perform:
  • Continuous monitoring
  • Rhythm interpretation
  • Measurements
  • Documentation
• Travelers are not required to be telemetry experts or interpret their own strips.

• Charge Nurse:
  • Days:
    No patient assignment
  • Nights:
    Carries 1–2 patients
• Rapid Response (ARR) Nurse: Available

Nurse Aides

• Days: 1:8
• Nights: 1:12

• BiPAP
• CPAP
• Home ventilators
• Home ventilator experience is not required.

• Shift: 6:45 AM–6:45 PM / 6:45 PM–6:45 AM (12-hour shifts)
• Self-scheduling available
• Block scheduling allowed (more common on nights)

• Every other weekend or
• Four weekend shifts per month
• Flexible for both day and night shifts

Rotating coverage for six major holidays:

• New Year's Day
• Memorial Day
• Fourth of July
• Labor Day
• Thanksgiving
• Christmas

• None

• May float according to the same rotation as permanent staff.

• Navy blue scrubs

• 2–3 shifts

A leader and innovator, offering comprehensive talent solutions for the healthcare industry across the nation. Talent4

Health, based in Wilmington, DE is a one stop solution that offers access to an inclusive network of excellent healthcare professionals through its state-of-the-art recruitment strategies and extensive career opportunities. We have successfully placed over 3000 plus clinicians with the topmost healthcare facilities across 50 states in the US.

With countless prestigious clients under our umbrella, backed up by passionate and hard-working recruiters, we are a team you have been looking for!

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