IMC/PCU/Stepdown – RN

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Job ID: 885630

Estimated Weekly Gross: $1,995.75

Job Title

Registered Nurse – Cardiac Stepdown

Location

Wilmington, NC | Acute Care

Schedule / Job Type

Contract | Nights | 3×12-Hour Shifts (18:45–07:15) | Expected 36 hours/week | 13–26 week assignments accepted

Key Responsibilities

• Provide direct patient care on a cardiac stepdown unit managing diagnoses including Atrial Fibrillation, CHF, ACS, CAD, valvular disorders, cardiomyopathy, and vascular conditions
• Monitor and interpret cardiac telemetry, manage dysrhythmias, and care for patients post-cardiac catheterization, post-DCCV, post-electrophysiology procedures, and post-pacemaker placement
• Manage cardiac drips and titrate as indicated; perform sheath management and sheath removal
• Operate and monitor specialized equipment including arterial lines, chest tubes, epicardial pacing wires, femoral sheaths, TR band, Fem-stop, Doppler, bladder scanner, and EKG
• Provide non-invasive airway management including external CPAP/BiPAP and nasal cannula support
• Document using EPIC, administer medications via Pyxis, and communicate using SBAR; follow unit float rotation and weekend requirements (4 weekends per 4-week period)

Required Qualifications

• Active RN license in North Carolina or a compact state (pending licensure acceptable for submission)
• Minimum 2 years of experience on a cardiac floor required
• Travel nursing experience required unless the candidate has more than 24 months of cardiac-specific experience
• BLS and ACLS certifications required
• NIHSS certification required
• Must pass EKG testing prior to start
• Local candidates are welcome; candidates within 50 miles of the facility are eligible (a lower rate applies)

Preferred Experience / Skills

• Arterial line management experience
• Wound care and wound VAC experience
• Charge nurse experience

Why Join Us

• Gain exposure to a high-acuity cardiac stepdown environment managing complex surgical and procedural patients including CABG, TAVR, Mitral Clip, LAAO, and vascular surgeries
• Work within a structured unit that does not place travel staff first to float, offering a more stable and predictable assignment experience

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