Progressive Care Step Down RN

Rotating, 4x12hrs Hours: 48 hrs/wk Start Date: Nov 23, 2026 Length: 13 weeks Openings: 1 Description American Traveler is hiring an RN for a Progressive Care/Step Down unit requiring NH or compact RN license and at least 1.5 years of recent equivalent experience. Details Work in a 48-bed step-down unit within the Heart & Vascular department Care for cardiology, EP, and cardiac surgical patients including cardiothoracic surgical, pre/post CHF, telemetry, vascular, and pulmonary HTN cases Manage patients with temporary pacers, external pacers, epicardial wires, and TR bands Patient ratios are 1:3 on days and 1:4-5 on nights depending on acuity 12-hour shifts with day/night rotation Weekly hours of 36 or 48 depending on scheduling needs Requirements Active NH RN license or Compact RN license with proof of state residency required Current BLS and ACLS certifications Minimum of 1.5 years of recent equivalent step-down or progressive care experience Experience with chest tubes, central lines, trachs/laryngectomies, and complex wound care Experience managing drips such as Diltiazem, heparin, Lasix, insulin, amiodarone, nitro, primacor, dobutamine, and dopamine Experience with hemodynamic monitoring, invasive BP monitoring via arterial lines, and Bi-PAP/C-PAP Experience caring for post-surgical patients with lines, tubes, and drains Additional Information Provide direct care to complex cardiac and post-surgical patients requiring advanced monitoring and intervention Administer and monitor low-dose pressors, vasoactive medications, and inotropes Perform central line care, maintenance, and blood draws Must reside outside a 75-mile radius of the facility to be considered for this position