IMC/PCU/Stepdown – RN

Job ID: #887185 | Salisbury, NC

 

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Job ID: 887185

Estimated Weekly Gross: $1,963.97

Job Title

Registered Nurse – Cardiac Stepdown

Location

Salisbury, NC | Acute Care

Schedule / Job Type

Contract | Full-Time | Nights | 3×12-Hour Shifts (18:45–07:15) | Onsite

Key Responsibilities

  • Provide direct patient care on a high-acuity, fast-paced cardiac and stroke unit with expected patient ratios of 1:5–6, with the ability to manage up to 6 patients during surge conditions
  • Care for stable pre- and post-procedure cardiac patients including those with pacemaker implantation, implanted cardioverter/defibrillators, cardiac catheterization, and interventional peripheral vascular procedures
  • Manage and titrate cardiac drips including Cardizem, Dopamine, and Amiodarone; perform IV starts and continuous telemetry monitoring
  • Care for patients presenting with unstable angina, CHF, dysrhythmias, low-risk chest pain, new CVA, and TIA; support use of non-rebreather masks, Bipap (chronic use only), and high-flow O2 with stable saturation
  • Utilize unit systems including Pyxis, Epic (Dimensions), and SBAR communication framework
  • Participate in on-call rotation based on patient census; float within or near the facility as needed; work every other weekend, 2 Mondays, and 2 Fridays within each 6-week period

Required Qualifications

  • Active NC RN license or valid Compact RN license (pending licensure acceptable at time of submission)
  • Minimum 2 years of experience in a cardiac stepdown or similarly high-acuity setting with comparable patient ratios and acuity levels
  • Required certifications: ACLS, BLS, and NIH Stroke Scale
  • Proficiency in IV starts and telemetry monitoring; experience with pre- and post-procedure cardiac patients and cardiac drips including PCI
  • Must pass EKG testing prior to start
  • Local candidates are welcome and accepted at the same posted rate

Preferred Experience / Skills

  • Experience titrating Cardizem drips and managing high patient turnover in a fast-paced environment
  • Familiarity with Epic (Dimensions) electronic health records and Pyxis medication dispensing systems
  • Comfort with self-scheduling workflows and adapting to fluctuating unit census demands
  • Prior travel nursing experience (first-time travelers also considered)

Why Join Us

  • Extended contract opportunity of 20+ weeks available through late February 2027, offering stability and continuity on a dynamic cardiac and stroke unit
  • Unit is supported by a team lead to assist with admissions and discharges, helping to manage the high patient turnover volume effectively


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