Registered Nurse - Stepdown Cardiac

Location: Salisbury, NC

Onsite Flexibility: Onsite

• Position Type: Contract
• Contract Duration: 3 months
• Pay Rate: $64.00 / Hour (USD)
• Shift / Schedule: Night shift, 12-hour shifts (3x12); 18:45 07:15
• Work Authorization: Applicants must be authorized to work for ANY employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.

This is a travel nursing position on a primary cardiac and stroke stepdown unit a fast-paced, high-acuity environment that typically turns over 78 to 90 patients per week. Nurses with a 6-patient assignment can expect to turn over their complete assignment and start over within a single shift. A team lead is available to assist with admissions and discharges. The unit currently houses COVID-positive patients utilizing opti-flow and BiPAP, and the high-acuity side (23-bed side of CTU) operates as a COVID unit taking patients on opti-flow and acute BiPAPs during a COVID surge.

• Care for stable pre- and post-procedure cardiac patients, including pacemaker implantation, implanted cardioverter/defibrillators, cardiac catheterization, and TR bands
• Manage post-uncomplicated interventional peripheral vascular procedure and cardiac interventions without sheath(s)
• Provide care for patients presenting with unstable angina, low-risk chest pain evaluation, CHF, dysrhythmias, all new CVA, and TIA patients
• Manage patients on non-rebreather mask with stable O2 saturation (must be on pulse ox)
• Titrate and run multiple drips including Cardizem, Dopamine, Amiodarone, and others
• Titrate Cardizem drips per unit protocols
• Utilize unit systems including Pyxis, Dimensions (EPIC), and SBAR for medication administration, documentation, and communication
• Participate in self-scheduling per unit guidelines with oversight from leadership to balance unit needs
• Complete 36-hour unit orientation; must be available every day during week one for hospital orientation
• Comply with float requirements as directed
• Meet weekend requirements: every other weekend, 2 Mondays and 2 Fridays in a 6-week period
• Respond to on-call requirements; frequency of on-call depends on patient census
• Adhere to scrub requirements: navy blue or white scrubs, or a mixture;
  Novant t-shirts permitted all days; jackets must match uniform material and color (no fleece); no crocs with holes

• IV start proficiency
• Telemetry monitoring
• Pre- and post-procedure patient care for cardiac patients
• Experience with cardiac drips
• PCI (percutaneous coronary intervention) experience
• Ability to manage patients with non-rebreather mask (stable O2 saturation)
• Comfort and proficiency titrating Cardizem drips
• Experience managing cardiac and stroke patient diagnoses (unstable angina, CHF, dysrhythmias, CVA, TIA)
• Familiarity with Pyxis, Dimensions (EPIC), and SBAR
• Comfort working in a fast-paced, high-turnover unit with 1:5 6 patient ratios; must be comfortable taking 6 patients including surge

• Active RN License required
• ACLS (Advanced Cardiac Life Support) certification required
• BCLS (Basic Cardiac Life Support) certification required
• NIH Stroke Scale certification required
• Must pass EKG Testing prior to start for this specialty

• Minimum 2 years of experience required; must have similar experience with ratios and acuity this is a challenging and very busy unit
• Travel nursing experience: first-time travelers accepted
• Local candidates accepted

• High-acuity, fast-paced stepdown cardiac and stroke unit
• Typical patient turnover of 78 90 patients per week; a nurse with a 6-patient assignment may turn over their complete assignment within a shift
• Target patient ratio: 1:5 6; ratios may fluctuate based on unit needs; travelers must be comfortable taking 6 patients during surge
• Unit accepts contract lengths of 13 26 weeks
• 36 guaranteed hours offered
• Night shift: 12-hour shifts, 18:45 07:15
• Float requirement: YES
• On-call requirement: YES; frequency depends on patient census
• Weekend requirement: every other weekend, 2 Mondays and 2 Fridays in a 6-week period
• Self-scheduling with leadership…