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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