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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