Stepdown Cardiac RN
Wilmington, NC
Revolution Healthcare Services
3x12 hrs, Nights
Referral Bonus

Start Date:

December 7, 2026

Location:

Wilmington, North Carolina

Compensation:

Details provided to qualified applicants

Schedule:

3x12-hour shifts, 6:45 PM - 7:15 AM (36 hours per week). Four weekend shifts required per four-week schedule period. Floating required as needed. Holiday coverage required. Contracts available through February 27, 2027.

Highlights:

• Comprehensive cardiac telemetry unit with 44 beds and diverse patient population including post-cardiac surgery, post-catheterization, and complex cardiovascular conditions
• 1:6 nurse-to-patient ratio with 24-hour orientation period
• Epic charting system with Pyxis medication management and SBAR communication protocols
• Exposure to advanced cardiac procedures including TAVR, Watchman, CABG, valve replacements, and electrophysiology cases
• Interdisciplinary support including physical therapy, respiratory services, pharmacy, rapid response teams, and social services
• Experience with specialized equipment including arterial lines, femoral sheaths, TR bands, chest tubes, and epicardial pacing wires

Requirements:

• Active RN license (North Carolina or Compact state license)
• BLS and ACLS certification required
• NIHSS certification preferred
• Minimum 2 years of cardiac nursing experience required
• Medical-surgical, telemetry, or step-down experience strongly preferred
• Epic charting system experience preferred
• First-time travelers accepted with appropriate cardiac experience
• Ability to pass EKG testing prior to assignment start
• Flu vaccination required (medical/religious exemptions available)
• Willingness to serve on storm/hurricane response teams as needed

Patient Population:

Adult and geriatric patients with diagnoses including atrial fibrillation, congestive heart failure, acute coronary syndrome, coronary artery disease, valvular disorders, endocarditis, cardiomyopathy, peripheral vascular disease, carotid stenosis, and venous stasis. Post-operative care for patients following CABG, valve replacements, TAVR, vascular surgeries, cardiac catheterization, cardioversion, electrophysiology procedures, and pacemaker placements.

Skills Utilized:

Interpretation and management of cardiac dysrhythmias, cardiac drip management and titration, sheath management and removal, arterial line care, central line management, chest tube care, BiPAP/CPAP management, wound care, IV therapy, telemetry monitoring, isolation precautions, and non-invasive airway management.

Why It's a Great Opportunity:

This position offers registered nurses the opportunity to expand their cardiac nursing expertise in a fast-paced telemetry environment with exposure to cutting-edge cardiac and vascular procedures. With comprehensive interdisciplinary support and a structured orientation program, nurses will provide high-quality care to a diverse patient population while developing advanced skills in cardiac monitoring, post-surgical care, and hemodynamic management. This role is ideal for experienced cardiac nurses seeking to make a meaningful impact in cardiovascular patient outcomes.