Registered Nurse IMC/PCU/Stepdown

Job Title

Registered Nurse – IMC/PCU/Stepdown (Cardiac)

Location

Wilmington, NC

Schedule / Job Type

Contract | Night Shift (3x12 Hours, 6:45 PM – 7:15 AM) | 36 Hours Per Week | 13–26 Week Assignments | Onsite

Key Responsibilities

• Provide direct patient care on a cardiac IMC/PCU/Stepdown unit managing diagnoses including Atrial Fibrillation, CHF, ACS, CAD, cardiomyopathy, and vascular conditions
• Monitor and interpret cardiac telemetry and dysrhythmias; manage and titrate cardiac drips as indicated
• Perform and assist with sheath removal, femoral sheath management, and post-procedural care following cardiac catheterization, DCCV, electrophysiology procedures, and pacemaker placements
• Manage patients post cardiac, thoracic, and vascular surgeries including CABG, AVR, MVR, TAVR, and carotid endarterectomy
• Operate and monitor specialized equipment including chest tubes, epicardial pacing wires, arterial lines, TR band, Fem-stop, and Doppler
• Adhere to unit float rotation, weekend requirements (4 per 4 weeks), and disaster/storm team assignments as needed

Required Qualifications

• Active RN license in North Carolina or a valid Compact state license
• Minimum 2 years of experience on a cardiac floor required
• Travel nursing experience required unless candidate has more than 24 months of cardiac experience
• Current BLS, ACLS, and NIHSS certifications
• Proficiency in cardiac telemetry, interpretation and management of dysrhythmias, PCU/DOU/IMC/Stepdown care, pre/post cardiac cath care, chest tube management, and non-invasive airway management (CPAP/BiPAP, nasal cannula)
• Must pass EKG testing prior to start

Preferred Experience / Skills

• Arterial line management experience
• Wound care and wound vac experience
• Prior charge nurse experience

Why Join Us

• Work in a high-acuity cardiac environment with exposure to advanced procedures and specialized equipment across a dynamic stepdown unit
• Contracts of 13–26 weeks available with a structured 24-hour unit orientation to support a smooth transition onto the floor