Registered Nurse Cardiac Stepdown

Job Title

Registered Nurse – Cardiac Stepdown

Location

Wilmington, NC | Acute Care

Schedule / Job Type

Contract | Nights | 3x12-Hour Shifts | 36 Hours/Week | 13–26 Week Assignments Accepted

Key Responsibilities

• Provide direct patient care on a cardiac stepdown/PCU unit managing diagnoses including Atrial Fibrillation, CHF, ACS, CAD, valvular conditions, cardiomyopathy, and vascular disorders
• Monitor and interpret cardiac telemetry, manage dysrhythmias, and oversee pre/post cardiac catheterization and post-DCCV and electrophysiology procedure care
• Manage cardiac drips and titrate vasoactive medications as indicated; perform and assist with sheath removal and femoral sheath management
• Operate and monitor specialized equipment including chest tubes (Emerson/Pleuravac), epicardial pacing wires, TR band, Fem-stop, Doppler, bladder scanner, and EKG
• Utilize non-invasive airway management including external CPAP/BiPAP and nasal cannula; support patients post-CABG, AVR, MVR, TAVR, Mitral Clip, LAAO, VATS, carotid endarterectomy, and other cardiac and thoracic surgeries
• Document using EPIC, communicate via SBAR, and dispense medications through Pyxis; participate in unit float rotation and expected weekend coverage of 4 shifts 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
• Active BLS, ACLS, and NIHSS certifications required
• Must pass EKG testing prior to start
• Local candidates (within 50 miles of the facility) are welcome to apply; a local pay rate will apply

Preferred Experience / Skills

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

Why Join Us

• Opportunity to work in a high-acuity cardiac stepdown environment with exposure to a broad range of complex cardiac, vascular, and thoracic surgical patients and specialized procedures
• Flexible contract lengths of 13–26 weeks with an expected schedule of 36 hours per week on a unit where float assignments follow rotation and travelers are not first to float