Job Opportunity – Cardiac Telemetry / Step-Down Nurse – North Carolina
Start Date: October 5, 2026
Location: Wilmington, North Carolina
Compensation: Details provided to qualified applicants
Schedule: Night shift, 36 hours per week, 13-26 week assignment available. Patient ratios vary by acuity: 1:4 for surgical step-down, 1:5-6 for lower acuity patients. Weekend requirement: 4 shifts per 4-week period (flexible scheduling).
Highlights:
- Cardiac telemetry and progressive care unit serving adult and geriatric populations with complex cardiac and vascular conditions
- Comprehensive case mix including post-cardiac cath, cardiac surgeries (CABG, valve replacements, TAVR), thoracic procedures, and vascular surgeries
- Epic EMR documentation system with 24 hours of paid orientation
- Interdisciplinary support including respiratory services, pharmacy, rapid response teams, and social services
- Manage patients with cardiac drips, chest tubes, sheath removal, dysrhythmia interpretation and management, and non-invasive airway support
- Float rotation follows unit schedule; contract staff not first to float
Requirements:
- Minimum 2 years of cardiac floor experience required
- Active RN license (North Carolina or Compact state license)
- Current BLS, ACLS, and NIHSS certifications required
- Must pass EKG testing prior to start date
- Proficiency in cardiac telemetry, PCU/step-down care, sheath removal, dysrhythmia interpretation and management
- Experience with cardiac drips (including titration), chest tube management, non-invasive airway management (CPAP/BiPAP), and post-cardiac procedure care
- Travel nursing experience preferred (required for candidates with less than 24 months cardiac experience)
- Arterial line management, wound care/wound vac, and charge experience preferred
- Flu vaccination required (medical/religious exemptions only)
- Willingness to serve on Storm Team/Hurricane Team and report during catastrophic events or disasters as needed
Why It's a Great Opportunity:
This position offers the chance to work with a diverse cardiac and vascular patient population in a progressive care environment with excellent interdisciplinary support. You'll utilize advanced cardiac nursing skills while caring for patients recovering from complex procedures including advanced valve replacements, cardiac catheterizations, and vascular surgeries. The flexible weekend scheduling and comprehensive orientation ensure you're set up for success from day one.