Registered Nurse - Cardiac Stepdown

Job Description

Job Summary:
Registered Nurse (Cardiac Stepdown) provides direct patient care for individuals requiring telemetry monitoring and stepdown-level management. The role focuses on safe medication administration, rhythm interpretation, and coordination of care for complex cardiopulmonary conditions.

Responsibilities:

• Monitor cardiac rhythms and interpret telemetry/strip readings to identify dysrhythmias and clinical changes.
• Administer and manage IV infusions and titratable drips (e.g., heparin, nitroglycerin, amiodarone, cardizem, insulin).
• Perform assessments and manage patient care for heart failure, chest pain rule-outs, NSTEMI, post-procedure patients, COPD exacerbations, and withdrawal/overdose-related cases.
• Initiate and maintain IV therapy, including effective IV start and line management.
• Prepare and respond to patient needs requiring respiratory support coordination for acute exacerbations.
• Apply infection prevention practices, including N95 fit when required for unit entry.

Qualifications:

• Hold an active Registered Nurse credential and one year of stepdown/PCU experience, with strong 1:5 ratio exposure reflected in work history.
• Demonstrate EPIC proficiency for documentation and care workflow support.
• Possess BLS certification and NIH requirements prior to assignment start.
• Obtain ACLS if available and demonstrate competency reading and interpreting EKG strips.
• Pass an online EKG tele/dysrhythmia competency assessment before beginning the assignment.
• Perform IV starts with consistent reliability in a fast-paced telemetry environment.

Benefits & Growth:

• Develop advanced telemetry and titratable infusion competence while caring for high-acuity cardiac stepdown patients.
• Strengthen clinical decision-making through standardized rhythm interpretation and acute-care protocols.
• Expand experience with cardiac-focused diagnoses and post-procedure care continuity.

Benefits

• Day 1 Medical, Dental, and Vision insurance
• Travel reimbursement for assignments
• Paid sick leave and additional valuable benefits
• Access to our $1,000 Inspire a Friend Referral Program

Why TactStaff?
Choosing TactStaff means partnering with a team that understands the unique demands and rewards of Cardiac Stepdown . We're here to provide you with meaningful assignments that support your professional growth while ensuring each role is a step toward achieving your long-term career goals.


Apply today to experience how TactStaff can elevate your Cardiac Stepdown career!