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

Assignment Overview

• Shift: Nights, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: Nov 16, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is hiring a Cardiac Telemetry RN with 2+ years of cardiac experience for a night shift stepdown unit position requiring NC or compact RN licensure.

Details

• Stepdown Cardiac unit within a hospital setting
• Night shift, 3x12 hours (6:45pm-7:15am), 36 hours per week
• Patient ratio of 1:6
• Floating required as needed
• Weekend coverage required - 4 shifts per 4-week period
• No on-call requirements
• Patient population includes Atrial Fibrillation, CHF, ACS, CAD, valve disorders, endocarditis, cardiomyopathy, PVD/PAD, vasculitis, and carotid stenosis
• 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, and post electrophysiology procedures including pacemaker placements
• Utilizes Doppler, bladder scanner, EKG, femoral sheaths, TR band, Fem-stop, chest tubes, and epicardial pacing wires
• Uses Pyxis and EPIC systems with SBAR communication

Requirements

• Active NC or compact RN license (pending OK at submission)
• BLS and ACLS certifications required; NIHSS preferred
• Minimum 2 years of cardiac experience required
• MS/Tele or Stepdown experience preferred
• Epic charting experience preferred
• Skills in IV therapy/phlebotomy, arterial line management, central and peripheral line care, and starting/maintaining IVs
• Respiratory skills including BiPAP/CPAP management, chest tube management, and non-invasive airway management
• Experience managing and titrating cardiac drips
• Experience with post-MI care, pre/post cardiac cath care, and sheath removal
• Experience with radial artery lines preferred
• Two professional references from a supervisor within the past 2 years (pending OK at submission, required at start)
• Current State Board of Nursing License Verification and NURSYS Verification

Additional Information

• Provide cardiac telemetry nursing care including dysrhythmia interpretation and management, and emergency response
• Assigned and expected to participate in Storm Team and/or Hurricane Team coverage during catastrophic events or disasters
• 24-hour unit orientation required, conducted weekly
• Pre-start modules required (8-10 hours for acute care roles), completed online and annually
• Must pass EKG testing prior to start
• Scrub requirement: navy blue pants with white top
• Must work 2 of 3 major holidays
• Up to 7 days of RTO auto-approved if not falling on a holiday; no RTO allowed during first week of assignment; no additional RTO after signing
• First-time travelers accepted only if they have more than 24 months of cardiac experience
• Former Novant Health or New Hanover PERM/PRN/EP employees must wait 12 months before applying, with disclosure and facility approval required
• Travel pairs allowed, provided they are on different units and have their own transportation
• Local candidates within 50 miles accepted at a lower rate