Stepdown

Stepdown/Telemetry RN – 12-Hour Night Shift

Location: Keene, NH

Contract Duration: 13 weeks

Shift: 7:00 PM – 7:00 AM (12-hour nights)

Guaranteed Hours: 36 hours per week

Schedule: Every other weekend and holiday rotation

Position Overview

The facility is seeking an experienced RN for its stepdown/telemetry unit. You'll provide nursing care to adult and geriatric patients who require closer monitoring than traditional med-surg but not ICU-level care. This includes patients transitioning from ICU, those at risk of clinical deterioration, and those requiring cardiac monitoring.

Key Responsibilities

• Continuously monitor cardiac rhythms and vital signs; respond promptly to changes in patient condition
• Administer medications, including select IV cardiac drips
• Assess and manage moderate-acuity patients; collaborate with physicians on the plan of care
• Respond to rapid response and code interventions as needed
• Provide patient and family education on condition, treatment, and recovery
• Accurately document assessments and interventions in the EMR
• Ensure infection control and fall prevention protocols are followed
• May float to other units as needed

Requirements

• Active RN license (New Hampshire or compact)
• BLS and ACLS certification (American Heart Association)
• 2+ years med-surg experience required
• Cardiac drip experience required – note on your profile
• Dementia experience/management required
• NIHSS strongly preferred
• PCCN preferred
• Own vehicle (required – limited public transportation in area)

What We're Looking For

Reliable, detail-oriented nurses who thrive in a fast-paced stepdown environment and communicate effectively with interdisciplinary teams. Block scheduling will not be accommodated.