Registered Nurse (RN) – Step-Down
Job Overview
We are seeking an experienced Registered Nurse (RN) to join our Cardiac Step-Down / Rapid Evaluation Unit (REU). This unit provides care to patients with typical stays ranging from 24–72 hours.
The ideal candidate will have a minimum of 2 years of Step-Down nursing experience, strong cardiac monitoring skills, and the ability to thrive in a fast-paced environment with high patient turnover.
Candidates must demonstrate excellent critical thinking, clinical assessment, and communication skills while delivering quality patient care. Flexibility to float to Med/Surg units as needed is also required.
Shifts : Days and Nights
Key Responsibilities
- Assess patients' immediate and ongoing healthcare needs and develop comprehensive, individualized care plans.
- Provide direct patient care in accordance with established nursing standards and hospital policies.
- Perform EKGs, laboratory draws, and other required bedside nursing procedures.
- Monitor and interpret cardiac rhythms and respond appropriately to changes in patient conditions.
- Administer medications, including continuous medication infusions, and calculate appropriate drug dosages.
- Provide care for patients requiring ventilator and tracheostomy management, gastrostomy tube care, and wound care.
- Monitor, evaluate, document, and communicate patients' responses to treatment.
- Coordinate patient care with physicians and multidisciplinary healthcare teams.
- Provide patient and family education, counseling, and discharge planning.
- Communicate effectively with patients, families, and healthcare team members.
- Adapt to a fast-paced environment with frequent admissions, discharges, and patient transitions.
- Float to Medical-Surgical (Med/Surg) units as needed.
- Participate in quality improvement initiatives, staff training, and continuing professional development.
Required Qualifications
- Bachelor of Science in Nursing (BSN) required.
- Minimum of 2 years of Step-Down nursing experience required.
- Experience in a cardiac unit with continuous electronic patient monitoring.
- Current Basic Life Support (BLS) certification.
- Current Advanced Cardiovascular Life Support (ACLS) certification.
- Ability to perform EKGs and laboratory draws.
- Strong clinical assessment and critical thinking skills.
- Excellent communication and patient care coordination skills.
- Ability and willingness to float to Med/Surg units as needed.
- Required Clinical Skills
- Cardiac rhythm monitoring, interpretation, and management.
- Experience administering continuous medication infusions and calculating drug dosages.
- Competency in ventilator and tracheostomy care.
- Experience with gastrostomy tubes and wound care management.
- Ability to manage patients in a high-acuity, fast-paced setting with high patient turnover.
- Strong ability to prioritize care and respond to changing patient conditions.
Preferred Qualifications
- Nursing Board Certification.
- Previous experience working in a Level I or Level II Trauma Center.
- Unit Highlights
- Unit: Rapid Evaluation Unit (REU) / Cardiac Step-Down
- Typical Length of Stay: 24–72 hours
- Patient Environment: Fast-paced with high patient turnover
- Floating Requirement: Must be comfortable floating to Med/Surg units as needed
DirectShifts is an Equal Opportunity Employer
All qualified applicants will receive consideration for employment
without regard to race, color, religion, sex, national origin, disability, protected veteran status,
or any other characteristic protected by law.
Your Right to Work
In compliance with federal law, all persons hired will be required to verify identity and eligibility
to work in the United States and to complete the required employment eligibility verification document form upon
hire.
