Stepdown Nurse (RN) - Lexington, NC

Company: Soliant
Location: Lexington
Posted on: March 20, 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. A nursing opportunity is available for an RN with Stepdown experience in Lexington, NC. This role involves working on a newly opening progressive care unit (PCU) that will transition into an intensive care unit (ICU) by the end of 2026. Ideal candidates will have at least two years of critical care experience, with a strong preference for cardiovascular ICU skills. Location This position is based in Lexington, NC, a city known for its rich history and vibrant community atmosphere. Lexington offers a welcoming environment with diverse cultural attractions, outdoor recreational activities, and growing healthcare facilities. It's an excellent place for healthcare professionals seeking a balance of professional growth and quality of life. Responsibilities Provide high-quality nursing care to patients with complex cardiac conditions including CHF, cardiomyopathy, shock, arrhythmias, and post-cardiac surgeries such as CABG and heart transplants. Manage patients requiring advanced support devices such as Swanz catheters and Impella. Perform wound care, dressing changes, defibrillation, EKG interpretation, cardioversions, managing invasive lines and drips including pressors and sedation. Support patients with chest tubes, trachs, bipap/cpap/hi-flow assistance, and ventilators once transitioned to ICU care. Collaborate with interdisciplinary teams including charge nurses, hospitalists, intensivists, respiratory therapists, and support staff. Utilize EPIC electronic medical records and Omnicell medication dispensing systems. Participate in unit floating as needed within scope to related departments. Qualifications Licensed Registered Nurse (RN) with BLS, ACLS, and NIHSS certifications. Minimum 2 years of ICU or PCU experience; CVICU preferred. Starting late 2026, ICU-specific experience required. Experience with cardiac care patients, LVAD, post-transplant care (training available). Ability to manage acute cardiac patients and complex post-surgical cases. Comfort with critical care technology and equipment listed above. Additional Details Patient ratios initially 1:3-4, moving to 1:2-3 once unit becomes ICU. Support includes 1 CNA per shift, charge nurse, phlebotomy, PICC team, and 24/7 hospitalists and intensivists. Orientation includes 2 shifts on-unit. Royal blue scrubs required; free parking provided. Contract assignment with potential floating to related units. This contract position offers the opportunity to work in a highly specialized cardiac care setting with progressive responsibility on a newly established unit. If you have the critical care skills and desire to advance in cardiac nursing, apply now to secure this rewarding role.

Keywords: Soliant, Gastonia , Stepdown Nurse (RN) - Lexington, NC, Healthcare , Lexington, North Carolina