PCU Registered Nurse - Cardiac Telemetry Step-Down
Wilmington, NC
Revolution Healthcare Services
3x12 hrs, Nights
Referral Bonus

Start Date: July 27, 2026
Location: Wilmington, North Carolina
Compensation: Details provided to qualified applicants
Schedule: Night shift, 1845-0715, 36 hours per week; 4 weekends per 4-week period (flexible)

Highlights:

• Work with a diverse cardiac and cardiovascular surgical patient population including post-CABG, TAVR, valve replacements, and vascular procedures
• Patient ratios vary by acuity: 1:4 for surgical stepdown, 1:5-6 for lower acuity telemetry patients
• Epic charting system with 24 hours of unit orientation provided
• Contract lengths of 13-26 weeks accepted with up to 7 days pre-approved time off (excluding holidays)
• Comprehensive interdisciplinary support including pharmacy, respiratory, physical therapy, and rapid response teams
• 44-bed unit with daily census of approximately 41 patients

Requirements:

• Minimum 2 years of cardiac telemetry or stepdown experience required
• Active RN license (North Carolina or Compact state license accepted)
• Current BLS, ACLS, and NIHSS certifications required
• Must pass EKG testing prior to start date
• Core competencies required: cardiac telemetry monitoring, interpretation and management of dysrhythmias, sheath removal, pre/post cardiac cath care, management and titration of cardiac drips, chest tube management, non-invasive airway management including BiPAP/CPAP
• Experience with patient diagnoses including atrial fibrillation, CHF, ACS, CAD, valve disorders, endocarditis, cardiomyopathy, and vascular conditions
• Proficiency with equipment including Doppler, bladder scanner, EKG, femoral sheaths, TR bands, and epicardial pacing wires
• Willingness to participate in facility float rotation and storm/hurricane team protocols
• Flu vaccination required (medical/religious exemptions only)

Preferred Qualifications:

• Arterial line management experience
• Wound care and wound vac experience
• Previous charge nurse experience
• Epic charting system experience

Why It's a Great Opportunity:

This position offers the chance to work with a complex and rewarding cardiac patient population, caring for individuals recovering from advanced cardiovascular and thoracic procedures. You'll be part of a well-supported interdisciplinary team environment where your specialized cardiac skills will make a meaningful impact on patient outcomes. With flexible weekend scheduling and a structured orientation program, you'll have the support you need to excel in this dynamic stepdown environment.

Additional Information:

• Completion of 8-10 hours of pre-start online modules required (non-billable)
• Interview required prior to offer; please provide availability within 72 hours of application
• Navy scrubs provided
• Local candidates within 50 miles accepted at adjusted rate
• Must be available to work 2 of 3 major holidays
• Former employees must wait 12 months before applying