Stepdown RN - Salem, New Hampshire

Company: Soliant
Location: Salem
Posted on: January 22, 2026

Job Description:

Job Description Job Description Nursing degree, active registered nurse (RN) license and minimum 1 years RN experience required. Applicants who do not meet these qualifications will not be considered. This contract nursing opportunity is ideal for experienced RNs skilled in step-down care and telemetry. The role focuses on providing advanced cardiac and medical-surgical nursing within a 20-bed Cardiac Medical Unit. Nurses in this setting manage patients requiring close monitoring who have complex cardiopulmonary needs but are stable enough to be outside the intensive care unit. Location: Salem, NH a vibrant community with a balance of suburban living and access to outdoor activities, shopping, and local dining. It is well-situated for those who enjoy a New England lifestyle while remaining close to metropolitan resources. Responsibilities: Provide nursing care to patients in a cardiac step-down unit with a patient ratio of approximately 5:1. Monitor and manage patients with cardiac conditions, including those requiring telemetry. Perform advanced procedures such as thoracentesis, pacemaker monitoring, trach care, cardiac catheterization post-care, and CIWA assessments. Utilize equipment including IV pumps, Bipap, Hi-flow oxygen delivery systems, and Kangaroo pumps. Document patient care accurately through the Meditech Expanse system. Collaborate with a multidisciplinary team including LVNs, LNAs, and unit clerks to ensure quality patient outcomes. Participate in bedside shift rounds and patient handoffs to optimize continuity of care. Adhere to unit-specific policies and professional dress code with required certifications (e.g., ASLS, BLS). Qualifications: Registered Nurse (RN) licensure required. Proven experience in telemetry and cardiac step-down care. Competence in advanced clinical skills and procedures relevant to cardiac patient management. Certification in Advanced Cardiac Life Support preferred. Strong communication skills and ability to work within a fast-paced team environment. Schedule: Typically 3 twelve-hour shifts per week, including every other weekend or a flexible 4-week shift schedule. This role offers engagement with a well-established unit recognized for excellence, working alongside experienced staff using modern medical technology. The position provides a platform for professional growth in cardiac nursing within a respected healthcare environment. Qualified nursing professionals are encouraged to apply for this rewarding contract assignment in Salem, NH.

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