Registered Nurse Cardiac Stepdown

Location: Wilmington, NC

Profession: Registered Nurse - Cardiac Stepdown

Posted: 11/12/2025

Salary: $1863.00/weekly

Shift: Days

Job Title

  • Registered Nurse - Cardiac Stepdown

Location

  • Wilmington, NC

Schedule / Job Type

  • Full-time, 12-hour day shifts, 3 shifts per week

Key Responsibilities

  • Provide specialized nursing care to cardiac patients in a stepdown unit.
  • Monitor patient cardiac rhythms and respond to arrhythmias with interpretation of dysrhythmias and remote monitoring.
  • Administer medications, including cardiac drips such as Diltiazem and Amiodarone.
  • Manage post-procedure care for cardiac caths, surgeries, and sheath removals.
  • Access ports, administer blood products, and care for central lines, PICC lines, and sheaths.
  • Collaborate with healthcare team to ensure optimal patient outcomes.

Required Qualifications

  • Active NC or Compact RN license in hand at start date.
  • Minimum of 2 years of recent cardiac stepdown nursing experience.
  • Experience with telemetry, PCU, DOU, IMC, or stepdown units.
  • Ability to interpret dysrhythmias and operate remote cardiac monitoring systems.
  • Experience with post-cardiac cath procedures, sheath pulls, and cardiac drips.

Preferred Experience / Skills

  • Charge nurse experience.
  • Certification in ACLS; NIH certification is a plus.

Why Join Us

  • Work in a dynamic hospital environment with a dedicated cardiac care team.
  • Opportunities for professional growth in a reputable healthcare facility.

Additional Notes

  • Float required as needed, with the potential to float every shift.
  • No RTO (leave requests) allowed during the first week due to orientation.
  • Must pass EKG testing prior to start.
  • Schedule includes weekend work every other weekend.
  • COVID-19 protocols and disaster staffing policies apply, including potential deployment during emergencies.
  • Must complete 24 hours of unit orientation.
  • References required at time of start, with two manager/supervisor references preferred.
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