Registered Nurse Cardiac Stepdown
iDeal Hire · idealhire.com
Winston-SalemMid level2+ yrsContract
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The job in short
Cardiac stepdown nursing.
Nursing
Details
- Found
- 7 d ago · posted 2026-10-30
- Location
- Winston-Salem, NC
Full description
Job Title
Registered Nurse – Cardiac Telemetry / Step-Down
Location
Winston-Salem, NC | Cardiac Step-Down
Schedule / Job Type
Contract | Nights (18:45–07:15) | 3x12-Hour Shifts | Onsite
Key Responsibilities
• Provide direct patient care on a cardiac telemetry/step-down unit for patients presenting with chest pain, arrhythmias, pacemaker/defibrillator needs, and heart failure
• Perform continuous telemetry monitoring including interpretation and management of dysrhythmias
• Administer and manage cardiac drips including Cardizem, Dopamine, Dobutamine, Milrinone, Amiodarone, Lasix, and Heparin
• Collaborate with a heart failure navigator and interdisciplinary team using SBAR communication framework
• Document patient care accurately using EPIC; dispense medications via Pyxis
• Float to other telemetry units within the facility as needed
Required Qualifications
• Active RN license in North Carolina or a valid Compact state license (pending licensure acceptable at time of submission)
• ACLS and BLS/BCLS certifications required
• Minimum 2 years of RN experience
• Must be comfortable with telemetry monitoring, dysrhythmia interpretation, and cardiac drip management
• Must pass EKG testing prior to start
• Must be available to work 4 weekend days per 6-week scheduling period and 2 of 3 major holidays
Preferred Experience / Skills
• Prior experience with cardiac GTT and vasoactive/cardiac infusions in a step-down or telemetry setting
• Familiarity with EPIC, Pyxis, and SBAR documentation practices
• Experience working with heart failure patient populations
• First-time travelers are welcome to apply
Why Join Us
• Expected weekly hours of 36–48 hours supported, offering scheduling flexibility within the contract period
• 36-hour unit orientation provided to support a smooth transition onto the unit
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