Registered Nurse - Stepdown Cardiac

Registered Nurse/Stepdown Cardiac

Location: Salisbury, NC

Contract Details

• Position Type: Contract
• Contract Duration: 3 months
• Pay Rate: $64.00 / Hour (USD)
• Shift / Schedule: Night shift, 12-hour shifts (3x12); 18:4507:15
• Work Authorization: Applicants must be authorized to work for ANY employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.

Job Summary

This is a travel nursing position on a primary cardiac and stroke stepdown unit a fast-paced, high-acuity environment that typically turns over 78 to 90 patients per week. Nurses with a 6-patient assignment can expect to turn over their complete assignment and start over within a single shift. A team lead is available to assist with admissions and discharges. The unit currently houses COVID-positive patients utilizing opti-flow and BiPAP, and the high-acuity side (23-bed side of CTU) operates as a COVID unit taking patients on opti-flow and acute BiPAPs during a COVID surge.

Key Responsibilities

• Care for stable pre- and post-procedure cardiac patients, including pacemaker implantation, implanted cardioverter/defibrillators, cardiac catheterization, and TR bands
• Manage post-uncomplicated interventional peripheral vascular procedure and cardiac interventions without sheath(s)
• Provide care for patients presenting with unstable angina, low-risk chest pain evaluation, CHF, dysrhythmias, all new CVA, and TIA patients
• Manage patients on non-rebreather mask with stable O2 saturation (must be on pulse ox)
• Titrate and run multiple drips including Cardizem, Dopamine, Amiodarone, and others
• Titrate Cardizem drips per unit protocols
• Utilize unit systems including Pyxis, Dimensions (EPIC), and SBAR for medication administration, documentation, and communication
• Participate in self-scheduling per unit guidelines with oversight from leadership to balance unit needs
• Complete 36-hour unit orientation; must be available every day during week one for hospital orientation
• Comply with float requirements as directed
• Meet weekend requirements: every other weekend, 2 Mondays and 2 Fridays in a 6-week period
• Respond to on-call requirements; frequency of on-call depends on patient census
• Adhere to scrub requirements: navy blue or white scrubs, or a mixture; Novant t-shirts permitted all days; jackets must match uniform material and color (no fleece); no crocs with holes

Required Skills

• IV start proficiency
• Telemetry monitoring
• Pre- and post-procedure patient care for cardiac patients
• Experience with cardiac drips
• PCI (percutaneous coronary intervention) experience
• Ability to manage patients with non-rebreather mask (stable O2 saturation)
• Comfort and proficiency titrating Cardizem drips
• Experience managing cardiac and stroke patient diagnoses (unstable angina, CHF, dysrhythmias, CVA, TIA)
• Familiarity with Pyxis, Dimensions (EPIC), and SBAR
• Comfort working in a fast-paced, high-turnover unit with 1:56 patient ratios; must be comfortable taking 6 patients including surge

Education Requirements

• Active RN License required
• ACLS (Advanced Cardiac Life Support) certification required
• BCLS (Basic Cardiac Life Support) certification required
• NIH Stroke Scale certification required
• Must pass EKG Testing prior to start for this specialty

Required Experience

• Minimum 2 years of experience required; must have similar experience with ratios and acuity this is a challenging and very busy unit
• Travel nursing experience: first-time travelers accepted
• Local candidates accepted

Work Environment / Physical Requirements

• High-acuity, fast-paced stepdown cardiac and stroke unit
• Typical patient turnover of 7890 patients per week; a nurse with a 6-patient assignment may turn over their complete assignment within a shift
• Target patient ratio: 1:56; ratios may fluctuate based on unit needs; travelers must be comfortable taking 6 patients during surge
• Unit accepts contract lengths of 1326 weeks
• 36 guaranteed hours offered
• Night shift: 12-hour shifts, 18:4507:15
• Float requirement: YES
• On-call requirement: YES; frequency depends on patient census
• Weekend requirement: every other weekend, 2 Mondays and 2 Fridays in a 6-week period
• Self-scheduling with leadership oversight; NO block scheduling
• RTO (Return to Origin) after booking is NOT allowed and is NOT allowed to be worked out onsite; any call-offs or additional RTO on unit could possibly result in a contract cancellation and DNR
• RTO maximum: 7-day max for AYA Auto Offer
• Unit currently houses COVID-positive patients utilizing opti-flow and BiPAP
• Special equipment in use: Telemetry and pulse ox, High Flow O2 (stable), Non-Rebreather Mask (only if Palliative), BiPAP (only if chronic use NO NEW BiPAP), Blanketrol
• NO: Unstable O2 with BiPAP, Non-Rebreather, Respiratory Rate > specified threshold, O2 Sat below specified threshold, K > 60 mEq/Liter, NO NEW BiPAP
• Flu vaccination required (medical/religious exemptions only)
• COVID-19 vaccination: not required

Important Notes

• Must pass EKG Testing prior to start for this specialty
• NO BLOCK SCHEDULING this requirement is strictly enforced
• RTO after booking is NOT allowed and is NOT allowed to be worked out onsite; any call-offs or additional RTO on unit could possibly result in contract cancellation and a DNR (Do Not Rehire)

About the Client

This client is a regional healthcare system operating acute care hospitals and medical centers across the Southeast, employing thousands of clinical and support professionals including registered nurses, cardiac specialists, respiratory therapists, and allied health staff across its network of facilities. The organization serves a broad patient population and is recognized for its cardiac and stroke care programs, with clinical teams that include RNs, charge nurses, clinical coordinators, and patient care technicians working collaboratively across high-acuity inpatient units.

About GTT

GTT is a minority-owned staffing firm and a subsidiary of Chenega Corporation, a Native American-owned company in Alaska. We highly value diverse and inclusive workplaces and support Fortune 500 organizations across banking, financial services, technology, life sciences, biotech, utilities, and retail sectors throughout the U.S. and Canada.