```htmlJob Opportunity – Registered Nurse – Cardiac Telemetry / Step-Down – North Carolina
Start Date: October 12, 2026
Location: Wilmington, North Carolina
Compensation: Details provided to qualified applicants
Schedule: Night shift, 36 hours per week, 13-26 week assignment available. Patient ratio averages 1:6 based on acuity. Weekend requirement: 4 shifts per 4-week period (flexible scheduling). Floating required at unit discretion.
Highlights:
- Comprehensive cardiac care unit managing post-surgical patients including CABG, valve replacements, TAVR, and vascular procedures
- Advanced telemetry experience with dysrhythmia interpretation and management, cardiac drip titration, and sheath removal
- Epic charting system with 24-hour orientation provided
- 43-room unit with census of approximately 41 patients and full interdisciplinary support including rapid response teams
- Experience with specialized equipment including arterial lines, femoral sheaths, chest tubes, and epicardial pacing wires
- Contract staff may be assigned to Storm Team/Hurricane Team and required to report during catastrophic events
Requirements:
- Minimum 2 years of cardiac floor experience required
- Previous travel nursing experience required unless candidate has more than 24 months of cardiac experience
- Current BLS, ACLS, and NIHSS certifications required
- Must pass EKG testing prior to start date
- NC state license or Compact license (pending acceptable for submission)
- Flu vaccine required (medical/religious exemptions only)
- Core skills: Cardiac telemetry, PCU/step-down experience, sheath removal, dysrhythmia interpretation and management, post-MI care, pre/post cardiac cath management, cardiac drip management and titration, chest tube management, BiPAP/CPAP, non-invasive airway management
- Proficiency with Pyxis medication system, Epic documentation, and SBAR communication
Preferred Qualifications:
- Arterial line management experience
- Wound care and wound VAC experience
- Previous charge nurse experience
Patient Population:
- Adult and geriatric patients with cardiac diagnoses including atrial fibrillation, CHF, ACS, CAD, valve disorders, endocarditis, cardiomyopathy, peripheral vascular disease, and carotid stenosis
- Post-operative cardiac, thoracic, and vascular surgery patients
- Post-catheterization, cardioversion, electrophysiology procedures, and pacemaker placements
Why It's a Great Opportunity:
This position offers experienced cardiac nurses the opportunity to work with a diverse and complex patient population in a well-supported acute care environment. You'll utilize advanced cardiac nursing skills daily while working with cutting-edge procedures and equipment. The flexible weekend scheduling and comprehensive interdisciplinary team support create an environment focused on both excellent patient outcomes and professional satisfaction.
Additional Information:
- Uniform requirement: Navy scrubs
- Pre-employment testing must be completed within 48 hours after signing
- Pre-start modules (approximately 8-10 hours, non-billable) must be completed online using Google Chrome or Microsoft Edge
- Interview required for all candidates; please be prepared to provide interview availability within 72 hours of submission
- Up to 7 days of time off may be pre-approved (excluding holidays); must work 2 of 3 major holidays
- Local candidates within 50 miles accepted at adjusted rate
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