Job Opportunity – Cardiac Telemetry/Step-Down RN – North Carolina
Start Date: September 28, 2026
Location: Wilmington, North Carolina
Compensation: Details provided to qualified applicants
Schedule: Night shift, 36 hours per week, 13-26 week assignments available. Patient ratios vary by acuity (1:4 for surgical step-down, 1:5-6 for lower acuity patients). Weekend requirement of 4 shifts per 4-week schedule period (flexible scheduling).
Highlights:
- Comprehensive cardiac care including telemetry monitoring, post-cardiac surgery, cardiac catheterization, and electrophysiology procedures
- Advanced cardiac skills including sheath removal, dysrhythmia interpretation and management, cardiac drip titration, and chest tube management
- Diverse patient population with diagnoses including CHF, ACS, CAD, atrial fibrillation, and post-CABG/valve replacement procedures
- Modern equipment and systems including Epic documentation, Pyxis medication management, and comprehensive interdisciplinary support
- 24-hour unit orientation with structured onboarding process
- Float requirements follow standard unit rotation (not first to float)
Requirements:
- Minimum 2 years of recent cardiac telemetry or step-down experience required
- Active RN license (North Carolina or Compact state license accepted)
- Current BLS, ACLS, and NIHSS certifications required
- Travel nursing experience required unless candidate has more than 24 months of cardiac experience
- Must successfully pass EKG testing prior to start date
- Strong skills in cardiac telemetry, dysrhythmia management, sheath removal, pre/post cardiac cath care, cardiac drip management, chest tube care, and non-invasive airway management
- Willingness to work storm team/hurricane team and report during catastrophic events or disasters as needed
- Availability for manager interview required prior to offer
Preferred Qualifications:
- Arterial line management experience
- Wound care and wound vac experience
- Charge nurse experience
- Epic charting system experience
Why It's a Great Opportunity:
This position offers the opportunity to work with a diverse cardiac and cardiothoracic surgical patient population while utilizing advanced critical care skills in a supportive team environment. With comprehensive interdisciplinary support including respiratory services, rapid response teams, pharmacy, and multiple ancillary services, you'll provide high-quality care to patients recovering from complex cardiac procedures and managing acute cardiac conditions. The facility supports professional growth through structured orientation and offers the flexibility of various contract lengths to meet your career goals.