Cardiac Stepdown Telemetry RN
Wilmington, NC
ADEX Healthcare Staffing LLC
3x12 hrs, Nights
Referral Bonus
$1,992/weekOverview
- Start Date01/05/2026
- Shift Breakdown3x12 hrs
- ShiftNights
- Duration13 weeks
- Facility InformationPsychiatric749 beds
- SettingHospital
Pay
Benefits
- Referral bonus
Qualifications
- Bachelor of Science, Bachelor of Science in Nursing or Associate of Science in Nursing
Description
Opportunity:
RN - Stepdown
Job Details:
• Work night shifts only, 36 hours per week
• 13-26 week contract assignments accepted
• Patient ratios vary by acuity: 1:4 for surgical step down, 1:5-6 for lower acuity
• Weekend requirement: 4 weekends per 4 weeks (flexible scheduling)
• Float requirement: Will follow unit rotation, not first to float
• 24-hour orientation required
• Must pass EKG testing prior to start
• Navy scrubs required
• Minimum 2 years cardiac floor experience required
• Travel experience required unless candidate has more than 24 months cardiac experience
• Required certifications: BLS, ACLS, NIHSS
• Required skills: Cardiac telemetry, PCU/DOU/IMC/Stepdown, sheath removal, interpretation and management of dysrhythmias, post MI care, pre/post cardiac cath, cardiac drip management and titration, chest tubes, external CPAP/BIPAP, non-invasive airway management
• Preferred skills: Arterial line management, wound care/wound vac, charge experience
• Work with special equipment including Doppler, bladder scanner, EKG, femoral sheaths, TR band, Fem-stop, chest tubes, epicardial pacing wires
• Use EPIC documentation system and Pyxis medication system
• Care for patients with conditions including atrial fibrillation, CHF, ACS, CAD, endocarditis, cardiomyopathy, and various cardiac procedures
• Must be available to work storm team/hurricane team during catastrophic events
• Cannot work more than 5 consecutive days or 60 hours per week
• Complete 8-10 hours of non-billable modules pre-start and annually
• Interview required for all candidates
Facility:
This major regional medical center operates a comprehensive cardiac stepdown unit specializing in post-cardiac surgery care and complex cardiac conditions. The facility features advanced cardiac services including a full range of cardiac surgeries, interventional procedures, and specialized cardiac care units. The organization provides extensive interdisciplinary support including physical therapy, respiratory services, pharmacy, and rapid response teams to ensure comprehensive patient care in a 44-bed cardiac stepdown unit.
Location:
Wilmington, NC
Wilmington offers a perfect blend of coastal living and urban amenities, featuring beautiful beaches, historic charm, and a vibrant downtown area. The city provides excellent year-round weather and numerous recreational opportunities including water sports, fishing, and outdoor activities, making it an ideal location for healthcare professionals seeking both career growth and lifestyle balance.
Facility
New Hanover Regional Medical Center
4 nurses recommend working with New Hanover Regional Medical Center

- Psychiatric
- 749 beds
Employer
ADEX Healthcare Staffing LLC
2 nurses recommend working with ADEX Healthcare Staffing LLC
Pros
I am an Adult Cardiac Sonographer and I have been traveling for almost 3 years now and pretty much all the time with ADEX Healthcare staffing. I always look around for all the options as most of travelers do, but end up with this company, because They don’t fail me! Good competitive rates and always attention. Vincent Poast is the guy you want to deal with no matter what is your experience in traveling and profession. He always explains all pros and cons of a contract. I feel like he is on my side compared to other recruiters. The most important part for me that he always answers my calls and texts no matter if it’s a weekend or after hours! Also, if he can’t help me directly, he would get a ADEX staff member who resolves an issue right the way. The whole team has been very helpful for almost 6 contracts now. Oh, and another very important thing for me that Vince never pushes to get into a contract and bothers like a lot of other recruiters that calling and texting day and night. He lets you decide what you really want !
Cons
None
Recommends working with ADEX Healthcare Staffing LLC
14 nurses found this helpful
About Wilmington, NC
As a Travel Cardiac Stepdown Nurse in Wilmington, NC here's what you should know:- The cost of living in Wilmington is slightly higher than the national average, with housing costs being the primary factor.
- Wages may not fully match up with the higher cost of living.
- Summer average high: 89°F, average low: 70°F.
- Winter average high: 58°F, average low: 36°F.
- Short term rentals are available in Wilmington, and they can be relatively easy to find, especially in the off-peak tourist seasons.
- Wilmington is car-friendly, with relatively low traffic congestion.
- Public transportation options are limited, but there are some bus routes available.
- Wilmington has a diverse population with a mix of age ranges.
- Common health issues may include allergies due to the pollen from the many trees and plants in the area.
- There is a growing population of travel nurses in Wilmington.
- Wilmington offers a variety of activities including exploring the historic downtown area, visiting museums, enjoying fresh seafood at local restaurants, and engaging in outdoor activities such as golfing and fishing.
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