Job Title Registered Nurse – Cardiac Stepdown Location Salisbury, NC | Acute Care Schedule / Job Type Contract | 12-Hour Night Shifts (18:45–07:15) | Friday, Saturday & Sunday | Expected 36 hours/week Key Responsibilities • Provide direct nursing care to cardiac and stroke patients including stable pre/post care for pacemaker implantation, implantable cardioverter/defibrillators, cardiac catheterization, and interventional peripheral vascular procedures • Manage and titrate cardiac drips including Cardizem, Dopamine, Amiodarone, and other vasoactive medications • Monitor and care for patients with diagnoses including unstable angina, CHF, dysrhythmias, CVA/TIA, and low-risk chest pain; utilize telemetry and pulse oximetry continuously • Perform IV starts and manage high-acuity patient assignments with ratios of 1:5–6, with comfort managing surge assignments of up to 6 patients in a high-volume, fast-paced environment • Operate specialized equipment including telemetry monitors, high-flow O2, non-rebreather masks, and BiPAP (chronic use only); document using Pyxis, Epic (Dimensions), and SBAR communication • Float within or near the facility as needed and participate in on-call rotation based on patient census Required Qualifications • Active NC RN license or valid Compact RN license (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 • Required certifications: ACLS, BLS/BCLS, and NIH Stroke Scale • Proficiency in IV starts and telemetry monitoring; experience with cardiac drips and PCI patients required • Must pass EKG testing prior to start • Must be available every day during week one for facility orientation (36-hour orientation) • Local candidates (within 50 miles of the facility) are welcome to apply; a local pay rate will apply Preferred Experience / Skills • Prior travel nursing experience preferred; first-time travelers will be considered • Experience caring for pre/post procedure cardiac patients including TR band management and PCI recovery • Familiarity with Epic (Dimensions) EMR and Pyxis medication dispensing systems • Comfort in high-volume units with rapid patient turnover Why Join Us • Contract lengths of 13–26 weeks available, offering flexibility for travel clinicians seeking short- or mid-term assignments • Weekend-only schedule (Friday, Saturday, Sunday nights) provides a structured, predictable work week with weekdays free