Cardiac Stepdown | Registered Nurse

Cardiac Stepdown Registered Nurse (RN) – Travel Nursing Contract in Tyler, Texas

Join a collaborative cardiac stepdown team as a Travel Registered Nurse (RN) providing high-quality care to patients requiring cardiac telemetry and medical-surgical monitoring. This 13-week travel nursing assignment offers consistent night shifts, a manageable 1:4 patient ratio, and the opportunity to work in Tyler, Texas—an inviting East Texas community known for its welcoming atmosphere, beautiful parks, and vibrant local culture.

Travel Nursing Job Details

• Location: Tyler, Texas
• Assignment Type: 13-week travel nursing contract
• Start Date: November 3, 2026
• Contract End Date: February 2, 2027
• Weekly Estimated Pay: $1,620–$1,710
• Schedule: 3 shifts per week
• Shift: 12-hour night shifts, 7:00 p.m. to 7:00 a.m.
• Hours: 36 hours per week
• Patient Ratio: Approximately 1:4
• Charting System: Epic
• Weekend Coverage: Weekend shifts are required
• Floating: Floating to support patient care needs is required

Cardiac Stepdown RN Job Requirements

• Current Registered Nurse (RN) license in hand, either state-specific or compact, as applicable
• At least 2 years of Registered Nurse experience in an acute-care, cardiac stepdown, progressive care, or intermediate-care setting
• Previous travel nursing experience required
• Current BLS, ACLS, and NIHSS certifications
• Recent experience with Epic electronic health record charting
• Strong cardiac telemetry and dysrhythmia interpretation skills
• Experience caring for patients with complex cardiac, respiratory, neurologic, renal, and postoperative needs
• Ability to meet assignment-specific travel nursing eligibility and compliance requirements

Cardiac Stepdown Registered Nurse Responsibilities

• Provide comprehensive nursing care for patients in a cardiac stepdown, progressive care, or intermediate-care unit
• Monitor cardiac rhythms, recognize changes in patient condition, and initiate appropriate nursing interventions
• Manage telemetry, cardiac drips without titration, heparin protocols, insulin protocols, oxygen therapy, and high-flow nasal cannula care
• Provide care for patients with ventilators, tracheostomies, chest tubes, central lines, PICC lines, feeding tubes, surgical drains, and wound vacs
• Administer medications and blood products safely while following established protocols
• Perform comprehensive assessments, maintain accurate Epic documentation, and communicate changes to the interdisciplinary care team
• Support patients with conditions including CVA, renal failure, spinal cord injury, traumatic brain injury, and postoperative or orthopedic trauma needs
• Collaborate with respiratory therapy, physical therapy, pharmacy, radiology, social services, rapid response teams, and other support services
• Participate in rapid response and emergency care activities as needed
• Float to other appropriate units when required to support safe and effective patient care

Apply now for this cardiac stepdown travel nurse opportunity in Tyler, Texas, and join a dedicated healthcare team.

Benefits

401K with Matching, Healthcare, Dental and Vision

Equal Opportunity

We are an equal opportunity employer and value diversity across our organization. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.