Travel Cardiac Telemetry Stepdown RN
Wilmington, NC
Access Healthcare
3x12 hrs, Nights

Registered Nurse (Cardiac Floor) - Travel/Contract

Location: Wilmington, North Carolina
Contract Length: 13 weeks

Job Summary

Seeking a Registered Nurse with a minimum of 2 years of cardiac floor experience. Night shift, 36 hours only. Contract length between 13-26 weeks accepted.

Requirements

Experience

• Minimum 2 years on cardiac floor required
• Traveler experience required unless >24 months cardiac experience
• Skills:

  • Cardiac Telemetry, PCU/DOU/IMC/Stepdown
  • Sheath Removal
  • Interpretation and management of dysrhythmias
  • Post MI care, Pre/Post Cardiac Cath
  • Manage and titrate cardiac drips
  • Chest tubes (Emerson/Pleuravac)
  • External CPAP/BIPAP, Nasal Cannula, Non-invasive airway management

Preferred Skills

• Arterial line management
• Wound Care/Wound Vac
• Charge nurse experience

Certifications

• BLS & ACLS required
• NIH Stroke Scale (NIHSS) certification required

Work Details

• Ratios:

  • 1:4 for surgical step down
  • 1:5-6 for lower acuity patients
• Shift: Nights only, 36 hours per week
• Float: Will follow unit rotation, not first to float
• Weekend Requirement: 4 weekends per 4 weeks (flexible)
• Must participate in Storm/Hurricane Team and may be required to work during catastrophic events or disasters

Patient Diagnoses

• Atrial Fibrillation
• Congestive Heart Failure (CHF)
• Acute Coronary Syndrome (ACS)
• Coronary Artery Disease (CAD)
• Aortic stenosis/regurgitation
• Mitral Regurgitation/Stenosis
• Endocarditis
• Cardiomyopathy
• Peripheral Vascular Disease (PVD), Peripheral Artery Disease (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 cardiac catheterization, DCCV, electrophysiology procedures
• Pacemaker placements

Equipment Used

• Arterial lines (optional)
• Doppler
• Bladder scanner
• EKG
• Femoral sheaths, TR band, Fem-stop
• Chest tubes
• Epicardial pacing wires

Unit Systems

• Pyxis (medication dispensing)
• EPIC (electronic health record)
• SBAR (communication tool)

Orientation & Dress Code

• Unit Orientation: 24 hours
• Scrubs: Navy

Testing & Compliance

• Must pass EKG competency testing prior to start
• Background checks including criminal, education verification, and state-specific registry searches required within 90 days of start
• Drug screening required within 30 days of start
• Fit mask testing (N95 or PAPR training) required
• Physical exam within 1 year of start (or 30 days if past positive TB)
• Immunizations and titers required: Measles, Mumps, Rubella, Varicella, Hepatitis B, TB screening, Flu vaccination or approved exemption
• COVID-19 vaccine no longer required for travel staff as of 6/8/2023
• Dysrhythmia/EKG competency exam must be passed with 82% or higher within 72 hours of assignment

Additional Notes

• Contract staff must complete Non-Novant Health Worker Orientation modules prior to start
• Must complete Medication Safety training and other facility-specific documents before starting
• Candidates will be assigned a Novant Health Corp ID and must complete I-Learn account setup prior to start
• Candidates must be prepared to work in a disaster or mass casualty event if required
• References: 2 professional references within 3 years for travel acute care nurses

This position is ideal for experienced cardiac floor RNs comfortable with telemetry, cardiac procedures, and critical care stepdown units, seeking a night shift travel contract in Wilmington, NC.