Stepdown Cardiac RN
Wilmington, NC
American Traveler
3x12 hrs, Nights

Assignment Overview

• Shift: Nights, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: Oct 26, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is hiring an RN for a Cardiac Stepdown/Telemetry unit requiring 2+ years of cardiac experience and BLS/ACLS certification.

Details

• Stepdown Cardiac unit within a hospital setting
• Night shift, 3x12 hours (1845-0715), 36 hours per week
• Patient ratio of 1:6
• Weekend coverage required: 4 weekend shifts per 4-week period
• Float required as needed within or near the facility
• No on-call requirements
• Patient population includes Atrial Fibrillation, CHF, ACS, CAD, valve disorders, endocarditis, cardiomyopathy, PVD/PAD, vasculitis, carotid stenosis, and venous stasis
• Supports patients post CABG, AVR, MVR, TAVR, Mitral Clip, LAAO (Watchman), VATS, carotid endarterectomy, Fem-Pop bypass, amputations, and other cardiac/thoracic/vascular surgeries
• Cares for patients post cath, post DCCV, post electrophysiology procedures, and pacemaker placements
• Utilizes equipment including Doppler, bladder scanner, EKG, femoral sheaths, TR band, Fem-stop, chest tubes, and epicardial pacing wires
• Arterial line use not required
• Uses Pyxis, EPIC, and SBAR for medication, documentation, and communication
• 24-hour unit orientation

Requirements

• Active NC or Compact RN license required (pending acceptable at submission)
• BLS and ACLS certifications required; NIHSS preferred
• Minimum 2 years of cardiac nursing experience required
• MS/Tele or Stepdown experience preferred
• Epic charting experience preferred
• Skills in IV therapy/phlebotomy and starting/maintaining IVs required
• Experience with central line care, peripheral line care, and arterial line management preferred
• Experience managing and titrating cardiac drips
• Experience with wound care/wound vac preferred
• Experience with radial artery lines preferred
• Skilled in interpretation and management of dysrhythmias
• Must pass EKG testing prior to start

Additional Information

• Provide cardiac telemetry nursing care including cardiac monitoring and emergency response
• May be assigned to a Storm Team and/or Hurricane Team and required to report during catastrophic events or mass casualty situations
• Scrub requirement: navy blue pants with a white top
• Holiday coverage required: must work 2 of 3 major holidays
• Up to 7 days of RTO can be auto-approved if not on a holiday; no RTO permitted during the first week of assignment
• Additional RTO requests after signing are not accepted
• First-time travelers accepted only if they have more than 24 months of cardiac experience
• Previous Novant Health/New Hanover employees (PERM/PRN/EP) must wait 12 months before reapplying and must disclose prior employment details
• Travel pairs allowed if assigned to different units, have separate transportation, and accept different schedules
• Local candidates accepted within 50 miles at a local rate
• Longer contract lengths through 2/27/2027 will be considered