First Connect Health is seeking a travel nurse RN Stepdown for a travel nursing job in Bismarck, North Dakota.
Job Description & Requirements
- Specialty: Stepdown
- Discipline: RN
- Start Date: 10/19/2026
- Duration: 13 weeks
- 36 hours per week
- Shift: 12 hours, nights
- Employment Type: Travel
Med/Tele RN – PCU/Stepdown
Position: Med/Telemetry Registered Nurse (RN)
Department: Med/Tele – PCU Level Care
Beds: 32
EMR: Epic preferred
Shifts: 7:00 AM – 7:00 PM / 7:00 PM – 7:00 AM
Weekend: Every Other Weekend
Holidays: Every Other Holiday
Orientation: Two 12-hour shifts
Radius Rule: 50 miles
Position Overview
We are seeking an experienced Med/Telemetry RN with PCU experience to join a 32-bed medical/telemetry unit providing care to adult and geriatric patients with a strong focus on cardiac and progressive care needs.
This is primarily a telemetry/cardiac unit, and candidates must have previous PCU experience and be comfortable independently reading and interpreting cardiac rhythms.
Profile review and manager interview are required.
Required Qualifications
- BLS – Required
- ACLS – Required
- Previous PCU experience – Required
- Strong Telemetry/Cardiac nursing experience
- Ability to read and interpret telemetry strips independently – Required
- Experience managing cardiac patients and telemetry monitoring
- Epic experience preferred
- First-time travelers are welcome if they meet the required clinical experience
Unit Details
- 32-bed unit
- Primary patient population: Adults and geriatrics
- Nurse-to-patient ratio:
- Typically 1:4–5
- Occasional 1:5–6 on nights
- PCU-level overflow may be 1:3
- Charge Nurse available on both shifts
- Charge Nurse may occasionally take a lighter assignment of approximately 2–3 patients
- Nurse aides/PCTs available with a target ratio of approximately 1:10
Common Patient Population & Diagnoses
The unit manages a broad range of medical, cardiac, and progressive-care patients, including:
- Cardiac patients
- Patients with cardiac history
- Cardiac catheterization patients
- EP studies
- Pacemaker patients
- Acute-on-chronic conditions
- Pneumonia
- COVID-19
- COVID patients requiring BiPAP
- Sepsis
- Influenza
- ETOH/substance-related conditions
- Occasional general surgical patients with cardiac history
Telemetry & Cardiac Monitoring
Telemetry is a major component of the unit.
- Portable telemetry monitors available
- Bedside monitors in patient rooms
- Central monitor/telemetry technician at the nurses' station
- RNs are responsible for reading and interpreting their own telemetry strips
- Strong cardiac rhythm recognition skills are required
IV Drips
RNs are required to manage and titrate appropriate drips.
Common drips include:
- Amiodarone (Amio)
- Cardizem
- Heparin
- Nitro
- Nipride
- Lasix
- Low-dose Dopamine
Levophed (Levo) is not used on this unit.
Respiratory Support
Patients may require:
- BiPAP
- Trach care
- Airvo/high-flow respiratory support
RNs should be comfortable managing these therapies and providing appropriate troubleshooting/support within their scope.
Floating Requirements
Travelers may be required to float based on operational needs.
Possible assignments include:
- PCU: Full PCU patient assignment
- Med/Surg: Full Med/Surg patient assignment
- ER Holds/Boarding: Care for boarded patients
- Other areas as helping hands when needed
Schedule
Day Shift: 7:00 AM – 7:00 PM
Night Shift: 7:00 PM – 7:00 AM
- Every other weekend
- Every other holiday
- No call/standby requirement
- Manager creates the schedule based on unit needs
- Block scheduling may be considered based on unit requirements
- If rotating between shifts, a 7a–7p / 7p–7a rotation will not occur more than once per week
Orientation
2 × 12-hour unit-specific orientation shifts
- Friday and Saturday during the first week of orientation
- Expected to be working independently by the following Sunday
Dress Code
Assignment Requirements & Important Notes
- 50-mile radius rule applies.
- Candidates living within 50 miles of the facility are subject to the applicable local policy/rate.
- Candidates may not be full-time, part-time, or PRN employees with any facility associated with CommonSpirit, CHI, or Dignity.
- RTO must be submitted upfront.
- Maximum of 7 days RTO per 13-week contract.
- Additional RTO will not be approved after submission, so all requested time off must be provided at the time of submission.
Ideal Candidate
The ideal candidate is a strong Telemetry/Cardiac RN with PCU experience who is comfortable caring for higher-acuity cardiac and medical patients, interpreting telemetry independently, managing cardiac drips, and floating to PCU, Med/Surg, or ER holds when required.
Akshay #1182895
About First Connect Health
At First Connect Health, we take pride in being a Joint Commission–certified healthcare staffing agency, headquartered in Newark, New Jersey. This prestigious certification is more than just a seal — it's a reflection of our commitment to excellence, safety, and quality in everything we do.
By meeting the rigorous standards set by The Joint Commission, one of the most respected accrediting bodies in healthcare, we've demonstrated that our processes, compliance, and patient care standards are aligned with the highest levels of quality in the industry.
But our dedication goes beyond certifications. Nurses choose First Connect Health because:
- ✅ Trust and Transparency: We foster honest communication, timely updates, and full transparency throughout your placement journey.
- ✅ Best Pay & Benefits: We offer industry-leading compensation packages, along with benefits that support your career goals.
- ✅ Flexibility & Choice: Whether you're seeking short-term assignments, long-term contracts, or local opportunities, we provide the flexibility to suit your preferences.
- ✅ Personalized Support: Our recruiters take the time to understand your needs, guiding you with care, respect, and responsiveness at every step.
When you work with First Connect Health, you're not just another number — you're a valued professional. Join a team that’s focused on your success, your well-being, and your future in healthcare.
Benefits
- Sick pay
- 401k retirement plan
- Weekly pay
- Referral bonus