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Shift: Days, 3x12hrs
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Hours: 36 hrs/wk
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Start Date: Mar 30, 2026
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Length: 13 weeks
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Openings: 1
American Traveler is seeking an experienced RN for a Cardiac Vascular Unit (CVU) Stepdown position at a Level I Trauma facility, requiring cardiac telemetry experience and Epic proficiency.
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Acute care stepdown unit (CVU) at a Level I Trauma facility
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18-bed unit focused on intermediate care and downgraded CVICU patients, supporting thoracic surgery, electrophysiology, cath lab, and structural heart programs
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Common diagnoses include CVA, CHF, A-fib RVR, and other cardiac and vascular conditions
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Nurse-to-patient ratio of 1:4, with 1:3 for post-surgical patients in the first 24 hours
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RNs are required to titrate drips including amio, nitro, nicardipine, epi, cardizem, and other blood pressure management medications
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RT available 24/7; respiratory equipment includes BiPAP, CPAP, and nasal cannula
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Remote telemetry techs available; RNs must independently read and interpret their own telemetry strips (hardwired and tele box capabilities)
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Charge nurse present on each shift and rarely takes a patient assignment
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Patient care techs available at a 1:18 ratio
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Hospitalist and intensivist in house 24/7; cardiology on call after hours
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EMR: Epic experience required
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12-hour day shifts, 0630–1900; night shifts available 1830–0700
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Schedule managed by unit manager; no block or self-scheduling
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Every other weekend required
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No on-call or standby requirement
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Floating required to same-level and lower-acuity units
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Active NE state or Compact (NLC) RN license required; pending licenses not accepted
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Current certifications required: BLS, ACLS, and NIHSS; pending certifications not accepted
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Minimum 2 years of RN experience required
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At least 1 year of experience with cardiac/vascular stepdown patient population required
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Ability to read and interpret cardiac telemetry strips independently
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Experience titrating vasoactive and cardiac drips required
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Driver's license required for consideration (used to verify home address for radius compliance)
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2 professional references required: one supervisor from within the last 12 months and one peer or supervisor from within the last 3 years, including dates of employment and eligibility for rehire
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Candidates must reside more than 50 miles from the facility to be eligible
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Provide intermediate cardiac and vascular nursing care, including titration of multiple drips and telemetry monitoring
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Unit orientation is tailored to the individual's experience, typically 1–2 shifts on the unit
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A pass/fail, open-book skills exam is administered on the Friday of orientation week; a score of 90% or higher is required to pass — failure results in contract termination
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Artificial nails are prohibited in all patient care areas; refusal to remove them will result to contract termination
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Navy blue scrubs required
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Candidates may not have been directly employed (full-time, part-time, or PRN) by any CommonSpirit-affiliated facility, including CHI or Dignity, within the past year; candidates employed PRN through outside staffing firms will be considered
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RTO requests of 7 days or fewer per 13-week contract must be submitted upfront; additional RTO will not be approved
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Scrub color: Navy blue