Registered Nurse-Stepdown

Nexus MedPro Staffing•Mt. Airy, NC

2d•Onsite

About The Position

Nexus MedPro Staffing is seeking an experienced Stepdown / Progressive Care Registered Nurse for a 13-week travel nursing assignment at an acute care hospital in Mount Airy, North Carolina. The nurse provides specialized care to adult patients who need closer monitoring and treatment than a traditional Medical-Surgical unit but do not require full intensive care services. The role involves cardiac telemetry, progressive care, neurological stepdown, and management of complex medical conditions. Nurses should be able to interpret cardiac rhythms, manage IV medications and cardiac drips, respond to changes in patient conditions, and collaborate with interdisciplinary teams. The assignment is in a 12-bed Intermediate Critical Care / Stepdown unit, with a target nurse-to-patient ratio of 1:4. The schedule is three 12-hour night shifts per week, from 6:45 PM to 7:15 AM, for 36 hours weekly. Nurses work every other weekend, approximately 12 weekend shifts during the contract, and must float between Stepdown and ICU according to census and staffing needs. There is no on-call requirement. The unit serves adults, has cardiac monitoring in every room and continuous pulse oximetry, and has 12-lead ECG capabilities. Mechanically ventilated patients are not routinely assigned to the Stepdown unit. Self-scheduling is available, and black scrubs are required.

Requirements

At least 2 years of RN experience in Stepdown, Progressive Care, Intermediate Care, or a comparable acute care setting.
Active North Carolina RN license or an eligible compact RN license.
Current ACLS, BLS, NIHSS, and Stroke Life Support certifications.
Experience with cardiac telemetry, MS/Tele, Neuro Stepdown, or Progressive Care.
Meditech charting experience.
Ability to manage patient assignments with a target nurse-to-patient ratio of 1:4.
Proficiency in cardiac rhythm interpretation and dysrhythmia management.
Experience with cardiac drips, heparin protocols, and IV insulin protocols.
Experience managing central lines, PICC lines, peripheral IVs, and implanted ports.
Knowledge of respiratory support, including BiPAP/CPAP, high-flow nasal cannula, and ABG interpretation.
Experience caring for patients with strokes and other neurological conditions.
Ability to respond to emergencies and collaborate with rapid response teams.
Willingness to float between Stepdown and ICU as required.

Nice To Haves

Previous travel nursing experience.
Charge nurse experience.
Teaching hospital or community hospital experience.
First-time travel nurses may be considered if they meet all clinical requirements.

Responsibilities

Provide specialized nursing care to adult Stepdown / Progressive Care patients with complex medical conditions.
Monitor patients using cardiac telemetry and interpret cardiac rhythms; manage dysrhythmias.
Administer and manage IV medications, cardiac drips, heparin protocols, and IV insulin protocols.
Manage central lines, PICC lines, peripheral IVs, and implanted ports.
Provide care involving respiratory support such as BiPAP/CPAP and high-flow nasal cannula, and interpret ABGs.
Care for patients with strokes and other neurological conditions.
Respond to emergencies and collaborate with rapid response teams and interdisciplinary teams.
Float between Stepdown and ICU as required by census and staffing needs.
Work every other weekend.