Required Qualifications: Registered Nurse license in California in hand; two years of step-down nursing experience; Advanced Cardiovascular Life Support (ACLS), Basic Life Support (BLS), and National Institute of Health Stroke Scale (NIHSS) certifications; required charting system experience; demonstrated competency in cardiac telemetry, dysrhythmia interpretation and management, central and peripheral line care, intravenous therapy, blood product administration, noninvasive airway management, ventilator and tracheostomy care, wound care, feeding tube management, heparin protocols, oxygen therapy, phlebotomy, and post-cardiac procedure care. The unit supports patients requiring close assessment and intervention no more frequently than every two hours, including patients receiving continuous non-titrated antiarrhythmic, vasoactive, or inotropic infusions; noninvasive mechanical ventilation; or invasive mechanical ventilation through a tracheostomy.