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

Registered Nurse (Cardiac Floor) - Wilmington, North Carolina

Employment Type: Travel/Contract
Contract Length: 13 weeks (approximately 3 months)
Shift: Nights, 36 hours only
Patient Ratios:

• Surgical step down: 1:4
• Lower acuity: 1:5-6
  Weekend Requirement: 4 weekends per 4 weeks (flexible)
  Float Requirement: Will follow unit rotation; not first to float

Job Description

• Minimum 2 years of experience on a cardiac floor required.
• Traveler experience required unless the candidate has more than 24 months of cardiac experience.
• Locals accepted.

Required Skills & Experience

• Cardiac Telemetry, PCU/DOU/IMC/Stepdown
• Sheath removal and management
• Interpretation and management of dysrhythmias
• Post MI care, pre/post cardiac catheterization
• Management and titration of 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

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

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, post DCCV, post electrophysiology procedures
• Pacemaker placements

Special Equipment

• Arterial lines (not required)
• 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

• 24 hours

Scrubs

• Navy color required

Important Notes

• No return to office (RTO) after booking allowed; call-offs or additional RTO may lead to cancellation.
• Contract staff will be assigned to Storm Team and/or Hurricane Team and may be required to report during catastrophic events or disasters.
• Must pass EKG competency testing prior to start.
• Every candidate will be interviewed before offer.

Required Certifications

• BLS (Basic Life Support)
• ACLS (Advanced Cardiac Life Support)
• NIH Stroke Scale (NIHSS)

Background and Compliance Requirements

• Criminal background check within 90 days of start (local, federal, national databases, sex offender search)
• Education verification for highest degree earned specific to nursing profession
• State-specific registry checks (North Carolina Healthcare Personnel Registry and Division of Medical Assistance) within 90 days of start
• Drug screening within 30 days of start (10-panel, negative result required)
• Physical exam within 1 year of start (or within 30 days if past positive TB)
• Fit mask testing (N95 or PAPR training) within 1 year of start
• Immunizations and titers required: Measles (Rubeola), Mumps, Rubella, Varicella, Hepatitis B (or facility-specific declination), TB testing (PPD, Qgold, or Tspot)
• Seasonal flu vaccination or approved medical/religious exemption required during flu season
• COVID-19 vaccine no longer required for travel staff as of June 2023

Additional Competency Requirements

• Dysrhythmia/EKG competency exam (must score 82% or higher; three attempts allowed)
• Medication/pharmacology competency exam as applicable
• Color blind testing within 1 year
• Other certifications as applicable based on unit and specialty (e.g., CPI for ER/BH nurses, TNCC, PALS, CHEMO)

Facility Specific Documents & Training

• Confidentiality agreement
• Non-Novant Health Worker Orientation (approx. 8 hours of modules)
• Hospital policies and acknowledgment form
• Medication safety training and certificate of completion
• Badge photo submission (passport style, white background, business attire)
• Corporate ID setup and I-Learn account activation required prior to start
• Radiation badge required for Cath Lab and related specialties (if applicable)

References & History

• Two professional references within 3 years required for travel and acute care positions
• Employment application and skills checklist required
• Performance evaluations required if worked with Aya over 1 year

This position is ideal for experienced cardiac floor RNs comfortable with telemetry, stepdown care, and managing complex cardiac patients during night shifts in a fast-paced hospital environment.