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Stepdown RN - Lexington, North Carolina

Company: Soliant
Location: Lexington
Posted on: March 19, 2026

Job Description:

Job Description Job Description Nursing degree, active registered nurse (RN) license and minimum 1 years Stepdown RN experience required. Applicants who do not meet these qualifications will not be considered. Provide specialized care as a Registered Nurse in a Progressive Care Unit (PCU) focused on cardiology cases. This contract opportunity is based in Lexington, NC, offering the chance to work within an academic medical center known for its Level 1 Trauma Designation and advanced cardiac services. Location Overview:Located near Winston-Salem, this medical center boasts 885 licensed beds and is recognized as a Chest Pain and Stroke Center, serving a diverse patient population with complex cardiovascular needs. The facility supports professional growth with cutting-edge technology and a collaborative unit culture emphasizing teamwork. Key Responsibilities: Deliver direct nursing care to PCU patients with cardiac diagnoses such as Acute Coronary Syndrome, heart failure, NSTEMI/STEMI, post cardiac catheterization, and arrhythmia management. Monitor and titrate cardiac medications including gtts like Dobutamine, Dopamine, Milrinone, Nitroglycerine, and others. Interpret cardiac rhythms and assist with post-procedural care including pacemaker and ICD management. Collaborate closely with interdisciplinary teams, including CNAs, respiratory therapists, hospitalists, and intensivists on a 24/7 basis. Utilize advanced technological systems such as Epic EMR, Alaris IV pumps, Omnicell medication dispensing, and Philips monitors. Support patient safety through hourly rounds and assist with activities of daily living as necessary. Qualifications / Desired Experience: Registered Nurse licensure with at least 1 year of cardiology or stepdown experience. Certifications required: BLS, ACLS, NIHSS. Proficient in cardiac rhythm interpretation and post-procedural cardiac care. Comfortable titrating various cardiac drip medications listed above. First-time travelers are welcome to apply. Schedule/Hours: Day shifts: 6:30 AM 7:00 PM Night shifts: 6:30 PM 7:00 AM Weekend rotation every other weekend; approximately 75% holiday work. No on-call duties; up to 5 days return to office per schedule cycle. Additional Perks: Free onsite parking. Supportive family-like unit culture centered on teamwork. Scrub color: Royal Blue. Float opportunities within the cardiology division and med-surg units. This contract role offers a challenging yet rewarding environment for a skilled RN eager to support cardiology patients in a top-level trauma and teaching hospital setting. Take the next step in your nursing career apply today to bring your cardiac expertise to this dynamic PCU team.

Keywords: Soliant, Columbia , Stepdown RN - Lexington, North Carolina, Healthcare , Lexington, South Carolina


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