Stepdown Registered Nurse (RN)

Job Description

We are seeking a dedicated Stepdown Registered Nurse (RN) for a nursing position within a busy healthcare facility located in City, State. The ideal candidate will possess the required certifications and experience to deliver high-quality care to patients in a fast-paced environment.

Position Details

• Unit Type: Stepdown
• Shift Length: 12 hours
• Guaranteed Hours: 36 hours per week
• Years of Experience Required: 2 Years
• Number of Beds: 18
• Nurse:Patient Ratios: 1:4; 1:3 for post-surgical patients in the first 24 hours

Certifications

• BLS Certification
• ACLS Certification
• NIHSS Certification

Patient Care Responsibilities

The Stepdown RN will manage patients who require intermediate care and those downgraded from SCU. The unit supports a variety of cardiac programs, including thoracic surgery, electrophysiology, catheterization lab interventions, and structural heart procedures. Common patient diagnoses include:

• Cardiac Arrest
• Congestive Heart Failure (CHF)
• Atrial Fibrillation with Rapid Ventricular Response (A fib RVR)
• Cardiovascular Accidents (CVAs)
• Other cardiac and vascular-related diagnoses

Role Requirements

• Minimum of 1 year of experience with this patient population
• Ability to titrate drips including Amiodarone, Nitroglycerin, Nicardipine, Epinephrine, Cardizem and others for blood pressure management
• Read and interpret telemetry strips independently; tele monitor technologists present for support

Working Environment

The unit operates with the following staffing model:

• Available patient care technicians at a ratio of 1:18
• Hospitalist and intensivist in-house 24/7
• Respiratory Therapists available in the unit around the clock

Schedule & Orientation

• Shifts: 0630-1900 and 1830-0700
• Manager schedules shifts; no block or self-scheduling available
• Weekend Requirement: Every other weekend
• Unit-specific orientation tailored to the individual’s experience; typically lasting 1-2 shifts

Dress Code

Employees are required to wear navy blue scrubs.

Additional Information

• Floating may occur to same level or lower acuity units as needed
• Must adhere to fingernail policy: Artificial nails are prohibited in patient care areas. Non-compliance will lead to termination of the contract.

If you are a compassionate and experienced Stepdown RN looking to make a difference in patient care, we invite you to apply and join our team.