Registered Nurse Cardiac Stepdown
Location: Wilmington, NC
Profession: Registered Nurse
Posted: 10/23/2026
Salary: $1987/weekly
Weekly Hours: 36
Shift: Nights
Job Details
Job Title
Registered Nurse – Cardiac Telemetry / Stepdown
Location
Wilmington, NC | Cardiac Stepdown / Telemetry
Schedule / Job Type
Contract | Night Shift | 3x12-Hour Shifts (18:45–07:15) | Expected 36 hours/week | Onsite
Key Responsibilities
- Provide direct nursing care to cardiac patients including those with diagnoses such as Congestive Heart Failure, Arrhythmias, and pre/post cardiac catheterization
- Monitor and manage patients on cardiac drips including Dobutamine, Amiodarone, Cardizem, Milrinone, Dopamine, and Diltiazem
- Perform specialized procedures including Sheath Pulls, TR Bands, and Femstop management
- Document patient care using EPIC and communicate using SBAR methodology; administer medications via Pyxis
- Float to other units as needed based on facility need; weekend shifts expected (approximately 5–6 shifts per 6-week scheduling period)
- May be assigned to a Storm Team or Hurricane Team and expected to report during catastrophic events, mass casualty incidents, or disasters
Required Qualifications
- Active RN license in North Carolina or a valid Compact RN license (pending licensure acceptable at time of submission)
- ACLS, BLS, and NIHSS certifications required
- Minimum 2 years of experience in Cardiac Telemetry, PCU, IMC, or Stepdown nursing
- Must pass EKG testing prior to start
- Must be open to floating within or near the facility as needed
- Local candidates (within 50 miles of the facility) are welcome; a local rate applies
Preferred Experience / Skills
- Experience with pacemaker and ICD implantation patient care
- Proficiency with EPIC electronic health records system
- Ability to thrive in a fast-paced, high-acuity cardiac environment with a 1:5–6 patient ratio
- First-time travelers are welcome to apply
Why Join Us
- Longer contract options available (13–26 weeks), offering extended stability in a dynamic cardiac care setting
- Gain specialized experience in a high-acuity cardiac telemetry unit with exposure to advanced procedures and complex patient populations
Apply Now
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