Cardiac PCU Registered Nurse
Wilmington, NC
GHR Healthcare - PH Division
3x12 hrs

Registered Nurse - Cardiac Floor

Location: Wilmington, North Carolina
Employment Type: Travel/Contract
Contract Length: 13 weeks

Job Overview

• Position on a cardiac floor requiring a minimum of 2 years cardiac experience.
• Traveler experience required unless candidate has over 24 months cardiac experience.
• Night shift only, 36 hours per week.
• Contract length accepted: 13-26 weeks.
• Patient ratios vary by acuity:

  • Surgical step down: 1:4
  • Lower acuity: 1:5-6
• Weekend requirement: 4 weekends per 4 weeks (flexible).
• Float requirement: follows unit rotation, not first to float.
• Contract staff expected to participate in Storm/Hurricane Team and may be required to work during catastrophic events or disasters.

Required Skills & Experience

• Cardiac Telemetry, PCU/DOU/IMC/Stepdown experience.
• Sheath removal and management.
• Interpretation and management of dysrhythmias.
• Care for Post MI, Pre/Post Cardiac Cath patients.
• Management and titration of cardiac drips.
• Experience with chest tubes (Emerson/Pleuravac), external CPAP/BIPAP, nasal cannula, and non-invasive airway management.
• Certifications: BLS, ACLS, NIHSS.

Preferred Skills

• Arterial line management.
• Wound care/Wound Vac.
• Charge nurse experience.

Patient Diagnoses

• Atrial Fibrillation, CHF, ACS, CAD, Aortic stenosis/regurgitation, Mitral Regurgitation/Stenosis, Endocarditis, Cardiomyopathy, PVD/PAD, Vasculitis, Carotid stenosis, Venous stasis.
• Sheath management and removal.

Special Procedures / Unit Details

• CABG, AVR, MVR, TAVR, Mitral Clip, LAAO (Watchman procedure).
• VATS, Carotid endarterectomy, FEM-POP bypass, amputations, other vascular surgeries.
• Cardiac and thoracic surgeries, post cath, post DCCV, post electrophysiology procedures, pacemaker placements.

Special Equipment

• Arterial lines (optional), Doppler, bladder scanner, EKG, femoral sheaths, TR band, Fem-stop, chest tubes, epicardial pacing wires.

Unit Systems

• Pyxis (medication), EPIC (documentation), SBAR (communication).

Orientation & Dress Code

• Unit orientation: 24 hours.
• Scrubs color: Navy.

Testing & Compliance Requirements

• Must pass EKG (Dysrhythmia) competency testing prior to start.
• Background checks including criminal, EPLS/GSA/SAM, HHS/OIG within 90 days of start.
• Education verification required for highest degree related to profession.
• Drug testing within 30 days of start (10-panel, negative result required).
• Fit mask testing required (N95 or PAPR training).
• Physical exam within 1 year of start; if past positive TB, physical within 30 days required.
• Immunizations and titers required: Rubeola (Measles), Mumps, Rubella, Varicella, Hepatitis B (or facility-specific declination).
• Negative TB or chest x-ray per protocol.
• Seasonal flu vaccine or approved exemption required during flu season.
• COVID-19 vaccine no longer required for travel staff as of 6/8/2023.

Additional Requirements

• Must complete Non-Novant Health Worker Orientation modules prior to start (approx. 8 hours).
• Must complete Medication Safety training and submit certificate.
• Must sign confidentiality agreement and other facility-specific documents prior to start.
• Must provide a passport-style photo for badge creation.
• References: 2 professional references within 3 years for travel acute care RNs.
• Performance evaluations required if worked with Aya over 1 year.

Notes

• No Return to Origin (RTO) allowed after booking; call-offs or additional RTO may lead to cancellation.
• Candidates will be interviewed prior to offer.
• Contract staff may be reassigned mid-contract as needed.

This position is ideal for experienced cardiac RNs comfortable with telemetry, stepdown care, and complex cardiac patient management on night shifts in a fast-paced hospital environment.