```htmlJob Opportunity – Registered Nurse (RN) – Cardiac Telemetry/Stepdown – 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 assignments available. Patient ratios typically 1:6, varying by acuity. Weekend requirement: 4 shifts per 4-week period (flexible scheduling). Float requirements follow standard unit rotation.
Highlights:
- High-acuity cardiac telemetry and stepdown unit with 44 beds and diverse patient population including post-surgical cardiac and vascular patients
- Comprehensive case mix including post-CABG, TAVR, Mitral Clip, LAAO (Watchman), electrophysiology procedures, and complex cardiac conditions
- 24-hour orientation with Epic charting system and Pyxis medication management
- Advanced skills including sheath removal, cardiac drip management and titration, chest tube management, and non-invasive airway support
- Collaborative interdisciplinary team including physical therapy, respiratory services, pharmacy, rapid response teams, and full clinical support staff
- Local candidates accepted; up to 7 days of pre-approved time off available (excludes first week and holidays)
Requirements:
- Current North Carolina or Compact RN license
- Minimum 2 years of recent cardiac telemetry or stepdown 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 competency testing prior to start date
- Proficiency in cardiac telemetry monitoring, dysrhythmia interpretation and management, sheath removal, cardiac drip management (with and without titration), chest tube care, and non-invasive airway management
- Experience with post-MI care, pre/post cardiac catheterization, and management of complex cardiac diagnoses including CHF, ACS, atrial fibrillation, and valvular disorders
- Familiarity with Epic charting system preferred
- Must be available for interview prior to offer; manager conducts interviews with all candidates
- Flu vaccination required (medical/religious exemptions only)
Preferred Qualifications:
- Arterial line management experience
- Wound care and wound VAC experience
- Previous charge nurse experience
Patient Population & Clinical Focus:
- Adult and geriatric patients with cardiac and vascular conditions
- Post-operative care following CABG, valve replacements (AVR, MVR), TAVR, carotid endarterectomy, vascular bypass procedures, and thoracic surgeries
- Post-procedural monitoring following cardiac catheterization, cardioversion, electrophysiology studies, and pacemaker placements
- Management of complex cardiac diagnoses including endocarditis, cardiomyopathy, peripheral vascular disease, and venous stasis
Special Equipment & Technology:
- Cardiac monitoring and telemetry systems
- Femoral sheaths, TR bands, and Fem-stop devices for vascular access management
- Chest tubes (Emerson/PleurEvac systems) and epicardial pacing wires
- Non-invasive respiratory support (CPAP/BiPAP, nasal cannula)
- Doppler ultrasound, bladder scanner, and EKG equipment
- Arterial line monitoring (preferred skill)
Additional Information:
- Contract staff may be assigned to Storm Team/Hurricane Team and may be required to report during catastrophic events, mass casualties, or disasters
- Unit consolidation and reassignment may occur mid-contract based on facility needs
- Pre-start online modules required (approximately 8-10 hours, non-billable, must be completed using Google Chrome or Microsoft Edge)
- Navy scrubs required
- Former facility employees must wait 12 months before applying
- Must work 2 of 3 major holidays during assignment
Why It's a Great Opportunity:
This position offers the chance to work with a highly skilled cardiac care team managing complex post-surgical and medical cardiac patients in a well-equipped stepdown environment. You'll utilize advanced cardiac nursing skills including hemodynamic monitoring, cardiac drip titration, and post-procedural care while benefiting from comprehensive interdisciplinary support. This role is ideal for experienced cardiac nurses seeking to expand their expertise across a diverse range of cardiovascular and vascular patient populations in a dynamic clinical setting.
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