Job Title Registered Nurse – Cardiac Stepdown Location Salisbury, NC | Acute Care Schedule / Job Type Contract | Full-Time | Nights | 3x12-Hour Shifts (6:45 PM – 7:15 AM) | Onsite Key Responsibilities • Provide direct patient care on a high-acuity, fast-paced cardiac and stroke unit managing pre- and post-procedure cardiac patients, including pacemaker implantation, implanted cardioverter/defibrillators, cardiac catheterization, and interventional peripheral vascular procedures • Monitor and manage patients with diagnoses including unstable angina, CHF, dysrhythmias, CVA, TIA, and low-risk chest pain; utilize telemetry and continuous pulse oximetry monitoring • Initiate IV access and administer and titrate cardiac drips including Cardizem, Dopamine, and Amiodarone per protocol • Operate specialized equipment including telemetry monitors, high-flow O2, non-rebreather masks, and BiPAP (chronic use only); utilize Pyxis, Epic (Dimensions), and SBAR communication • Manage a patient assignment of up to 6 patients with potential for full assignment turnover; expected to handle high patient volume of approximately 78–90 patient turnovers per week unit-wide • Participate in on-call rotation, float as needed within or near the facility, and fulfill weekend requirements (every other weekend, 2 Mondays and 2 Fridays per 6-week period) Required Qualifications • Active RN license in North Carolina or a Compact state (pending licensure acceptable at time of submission) • Minimum 2 years of RN experience in a cardiac stepdown or similarly high-acuity setting with comparable patient ratios and acuity levels • Required certifications: ACLS, BLS/BCLS, and NIH Stroke Scale • Required skills: IV insertion, telemetry monitoring, cardiac drip management, and PCI experience • Must pass EKG testing prior to start • Must be comfortable managing a patient assignment of up to 6 patients and working in a high-volume, fast-paced environment with no block scheduling • Local candidates within 50 miles of the facility are welcome to apply; a lower rate applies for local candidates Preferred Experience / Skills • Prior travel nursing experience (first-time travelers will be considered) • Experience with TR band management and post-PCI patient care • Familiarity with Epic (Dimensions) electronic health records and Pyxis medication dispensing systems • Experience caring for patients requiring high-flow oxygen therapy or BiPAP in a stepdown setting Why Join Us • Contract length of 13–26 weeks available, offering flexibility for travel clinicians seeking short- or mid-term assignments • Expected 36 hours per week with self-scheduling options and team lead support for admissions and discharges