RN - PCU
J.W. Ruby Memorial Hospital
Registered Nurse - Cardiac Stepdown
Job Title: Registered Nurse - Cardiac Stepdown
Profession: Nursing
Specialty: Stepdown
Duration: 13 weeks
Shift: 12-hour Nights
Hours per Shift: 36 hours per week
Experience: Minimum of 1 year of experience
License: Required
Certifications:
- BLS
- ACLS
- NIHSS
Must-Have:
- Cardiac experience preferred
- EPIC experience required
- Stepdown and Medsurg/Tele experience required
Description: The unit has a total of 32 beds, consisting of 22 stepdown beds and 10 floor beds. The nurse-to-patient ratio for stepdown is 1:3, and for floor patients, it is 1:5 or 1:6. RNs are required to titrate drips, including Heparin, insulin, nitroglycerin, Cardizem, nicardipine, Lasix, amiodarone, and dobutamine. There is a dedicated charge nurse for the unit during the shift. Three house supervisors are present in the facility at all times. The goal is to have a free charge nurse, but depending on staffing numbers, they may have a patient assignment of 1-3 patients. Clinical associates assist on the unit, with staffing typically at a ratio of 1:16 overnight due to budget constraints, but ideally, it is 1:8 when fully staffed. Respiratory equipment includes NC, CPAP, BiPAP, and HFNC, with dedicated RT support for the floor. Tele techs monitor and record tele strips from a central location, using Phillips monitoring systems. Self-scheduling and block scheduling are generally flexible. Weekend requirements include working Saturdays and Sundays, along with Fridays and Mondays, within a four-week schedule period. Holiday requirements include working either an eve or a day for major holidays. The position does involve floating to other areas as needed, with a rotational pull to floor assignments. Scrub color is royal blue. Unit-specific orientation is provided.
Benefits:
We offer competitive benefits, including:
- Medical, dental & vision insurance
- Free and unlimited continuing education units (CEUs)
- 24/7 dedicated Care Line and clinical liaison support
- Personalized career consultant and "single point of contact" service
- Industry‑leading pay rates, loyalty rewards & referral bonuses
- Free tax return assistance for travelers
- 401(k) Retirement Plan
- Health Savings Account (HSA)
- Disability Insurance (Short-Term and Long-Term)
- Life and AD&D Insurance
- Paid Sick Leave (where required by applicable state or local law)
- Supplemental Insurance Plans
- Identity Theft Protection
- Pet Insurance
- Employee Wellness Programs
- Employee Assistance Program (EAP)
- Career Growth and Professional Development Opportunities
Disclaimer: Benefits eligibility, accrual rates, and usage limits may vary based on employment status, length of service, and work location. Paid Sick Leave is provided in strict accordance with applicable state and municipal mandates. Cynet Health reserves the right to modify, amend, or terminate any benefit plans at any time in accordance with applicable laws.
About Cynet Health: Cynet Health is a Joint Commission-accredited, Minority-Owned healthcare staffing agency headquartered in Sterling, Virginia, proudly serving healthcare facilities across the United States since its founding in 2010. As one of the nation's largest and fastest‑growing healthcare staffing firms in the nation, we staff thousands of nursing, allied health, locum tenens, pharmacy, therapy, direct‑hire, and non‑clinical professionals across hospitals, clinics, long‑term care facilities, labs and more. We're one of the most decorated staffing agencies in America-ranked a Top Travel Nursing Company by BluePipes, recognized among the fastest‑growing and most diverse staffing firms by Inc. 5000, Staffing Industry, WBJ and USPAACC-and remain deeply committed to excellence, inclusion, and community impact.
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