Registered Nurse IMC/PCU/Stepdown

Job Title

Registered Nurse – IMC/PCU/Stepdown

Location

Wilmington, NC

Schedule / Job Type

Contract | Nights (3x12 Hours, 18:45–07:15) | 36 Hours/Week | 13–26 Week Assignments | Onsite

Key Responsibilities

• Provide direct patient care on an intermediate cardiac/stepdown unit managing diagnoses including Atrial Fibrillation, CHF, ACS, CAD, valvular disorders, cardiomyopathy, and peripheral vascular conditions
• Monitor and interpret cardiac telemetry, manage dysrhythmias, and oversee cardiac drip administration including titration
• Perform and assist with sheath management and removal, femoral sheath care, TR band, and Fem-stop procedures
• Care for post-procedural patients following cardiac catheterization, DCCV, electrophysiology procedures, pacemaker placements, CABG, TAVR, VATS, and vascular surgeries
• Operate and monitor specialized equipment including arterial lines, chest tubes, epicardial pacing wires, Doppler, bladder scanner, and EKG
• Maintain accurate documentation and communication using EPIC, Pyxis, and SBAR; adhere to unit float rotation and weekend requirements (4 shifts per 4-week period)

Required Qualifications

• Active RN license in North Carolina or a Compact state
• Minimum 2 years of experience on a cardiac floor required
• Travel nursing experience required unless candidate holds more than 24 months of cardiac experience
• Current BLS and ACLS certifications required
• NIHSS certification required
• Demonstrated proficiency in cardiac telemetry, PCU/DOU/IMC/Stepdown care, interpretation and management of dysrhythmias, post-MI care, pre/post cardiac cath care, non-invasive airway management (CPAP/BiPAP, nasal cannula), and chest tube management (Emerson/Pleuravac)

Preferred Experience / Skills

• Experience with arterial line management
• 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 wide range of complex cardiac, thoracic, and vascular procedures and diagnoses
• Flexible contract lengths of 13–26 weeks with a structured orientation period to support a smooth transition onto the unit