Job Title: RN – Telemetry Stepdown
Location: Cincinnati, OH – 45219
Duration: 8-13 Weeks (Extension Possible)
Shift: Night Shift | 36 Hours/Week | Every Other Weekend Required

Position Overview

• We are seeking an experienced Registered Nurse (RN) for a Telemetry Stepdown unit. This role requires strong clinical judgment, cardiac care expertise, and the ability to manage patients requiring continuous monitoring and advanced interventions.
• The RN will assess, plan, implement, and evaluate patient care while collaborating with interdisciplinary teams. Care delivery is patient-centered, culturally sensitive, and aligned with professional nursing standards and regulatory guidelines.

 
Duties & Responsibilities

• Provide direct patient care to cardiac stepdown patients with moderate to high acuity
• Perform comprehensive patient assessments and continuously monitor clinical status
• Interpret telemetry and ECG rhythms and respond appropriately to changes in condition
• Administer and titrate IV cardiac drips (e.g., Amiodarone, Cardizem, Dopamine, Dobutamine, Milrinone) per protocol
• Deliver care for patients with acute MI, arrhythmias, heart failure, and post cardiac/vascular procedures
• Assist with and monitor patients undergoing cardioversion and electrophysiology procedures, including conscious sedation support
• Develop, implement, and evaluate individualized care plans in collaboration with the interdisciplinary team
• Maintain accurate and timely documentation in accordance with facility and regulatory standards
• Educate patients and families on treatment plans, medications, and post-discharge care
• Ensure adherence to infection control, safety protocols, and quality standards
• Communicate effectively with physicians, peers, and ancillary staff to ensure optimal patient outcomes
• Float to other stepdown units as required based on staffing needs

 
Required Qualifications

• Active RN license
• Minimum 2+ years of Stepdown experience
• Strong experience with cardiac drips (Amiodarone, Lasix, Cardizem, Dopamine, Dobutamine, Milrinone, etc.)
• Proficient in ECG/telemetry interpretation
• ACLS Certification
• Ability to work in a fast-paced, team-oriented environment
• Excellent communication and critical thinking skills

Unit Details – Telemetry Stepdown

• 28-bed Cardiac Medical Stepdown unit
• Specializes in post-procedural recovery (vascular & electrophysiology)
• Patient population includes:
• Acute MI
• Cardiac arrhythmias
• Syncope
• Cardiomyopathy
• Heart failure
• Advanced care capabilities:
• Continuous cardiac monitoring
• IV medication titration
• Conscious sedation for cardioversions
• All RNs are ACLS certified and ECG-trained
• Strong pathway for nurses transitioning into ICU