Job Opportunity – Cardiac Stepdown RN – Western North Carolina
Start Date: September 28, 2026
Location: Asheville, North Carolina
Compensation: Details provided to qualified applicants
Schedule: Day or Night Shift available. Patient ratio 1:4, occasional stretch to 1:5. Every other weekend required. Unit has 40 beds with dedicated charge nurse, bedside nurses, PCTs, and unit secretary support on each shift.
Highlights:
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Progressive care cardiac unit specializing in CHF, MI, arrhythmias, pulmonary hypertension, valvular disease, endocarditis, DKA, post-cardiac procedures including cath, stent, pacemaker, ICD, and ablation
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Work with advanced cardiac IV medications including nitroglycerin, Cardizem, amiodarone, dopamine, dobutamine, insulin drips, heparin, and diuretics
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Utilize equipment such as Zoll monitors, Baxter pumps, bladder scanners, and lift equipment
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Cerner EMR system for streamlined documentation
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Opportunity for relief charge experience; floating to med-surg, stepdown, and emergency holding areas
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Supportive team environment with comprehensive orientation including unit policies and guidelines
Requirements:
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BLS and ACLS certifications required
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Stepdown or progressive care experience required
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Telemetry experience required
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Demonstrated experience titrating cardiac IV medications (nitroglycerin, Cardizem, amiodarone, dopamine, dobutamine, insulin drip, heparin, Bumex/Lasix)
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Preferred: Experience with prostacyclins (Flolan, Veletri, Remodulin) and relief charge experience
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Dress code: All white, all navy blue, or white top with navy blue pants
Why It's a Great Opportunity:
Join a collaborative cardiac stepdown team caring for complex cardiovascular patients in a well-equipped 40-bed unit. This position offers the chance to apply advanced critical thinking skills with challenging cardiac cases while working alongside compassionate colleagues who value flexibility, positivity, and teamwork. Ideal for experienced stepdown nurses seeking to deepen their cardiac expertise in a supportive, mission-driven environment.