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Job ID: 879501
Estimated Weekly Gross: $1,996.22
Job Title
Registered Nurse – Cardiac Step-Down (IMC/PCU)
Location
Asheville, NC | Cardiac Step-Down
Schedule / Job Type
Contract | 13 Weeks | Night Shift | 6:45 PM – 7:15 AM | Every other weekend required | Projected Start: September 14, 2026
Key Responsibilities
- Provide direct patient care on a 40-bed cardiac step-down unit managing patients with CHF, MI, chest pain, arrhythmias, pulmonary hypertension, valvular disease, endocarditis, DKA, and post-procedural cardiac patients (cath/stent, pacer/ICD/ablation)
- Administer and titrate cardiac IV medications including nitroglycerin, Cardizem, amiodarone, dopamine, dobutamine, insulin drip, heparin, and diuretics
- Operate unit equipment including Zoll monitors, Baxter pumps, lift equipment, and bladder scanners; document using Cerner EMR
- Perform and assist with bedside cardioversion as needed
- Maintain patient ratios of 1:4, with stretch staffing up to 1:5
- Float to MedSurg units, other step-down units, COVID unit, and ER holding as needed
Required Qualifications
- Active RN license applicable to practice in North Carolina
- BLS certification required
- ACLS certification required
- Minimum 2 years of step-down or progressive care nursing experience
- Telemetry experience required
- Demonstrated experience with titratable and cardiac IV medications
Preferred Experience / Skills
- Experience with prostacyclin therapies (Flolan, Veletri, Remodulin)
- Relief charge nurse experience
Why Join Us
- Opportunity to work in a specialized cardiac step-down environment within a dedicated heart center, gaining exposure to a diverse and high-acuity cardiac patient population
- Collaborative team environment that values flexibility, compassion, and a positive attitude