Registered Nurse Cardiac Stepdown

Job Title

Registered Nurse – Cardiac Stepdown

Location

Wilmington, NC

Schedule / Job Type

Contract | Nights | 3x12-Hour Shifts (18:45–07:15) | 36 Hours per Week | 13–26 Week Assignments

Key Responsibilities

• Provide direct patient care on a cardiac stepdown unit managing diagnoses including Atrial Fibrillation, CHF, ACS, CAD, aortic and mitral valve conditions, cardiomyopathy, and vascular conditions
• Monitor and interpret cardiac telemetry and dysrhythmias, and manage cardiac drips including titration as required
• Perform and assist with sheath management and sheath removal, as well as 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, VATS, carotid endarterectomy, and FEM-POP bypass
• Operate and monitor specialized equipment including chest tubes, epicardial pacing wires, femoral sheaths, TR band, Fem-stop, Doppler, bladder scanner, and EKG
• Maintain accurate documentation and communication using EPIC, Pyxis, and SBAR; participate in unit float rotation and fulfill weekend and storm/disaster team requirements as assigned

Required Qualifications

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

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 unit orientation and a supportive team environment