PCU Registered Nurse - Cardiac Telemetry Step-Down
Wilmington, NC
Concentric Healthcare Staffing
3x12 hrs, Nights

Job Title

Registered Nurse – IMC/PCU/Stepdown (Cardiac)

Location

Wilmington, NC

Schedule / Job Type

Contract | Night Shift (3x12 Hours, 6:45 PM – 7:15 AM) | 36 Hours per Week | 13–26 Week Assignment | Onsite

Key Responsibilities

• Provide direct patient care on a cardiac IMC/PCU/Stepdown unit managing diagnoses including Atrial Fibrillation, CHF, ACS, CAD, cardiomyopathy, and vascular conditions
• Monitor and manage cardiac telemetry, interpret and manage dysrhythmias, and oversee cardiac drip administration including titration
• Perform and assist with sheath management and removal, arterial line monitoring, and management of chest tubes (Emerson/Pleuravac)
• Care for post-procedural patients following cardiac catheterization, DCCV, electrophysiology procedures, pacemaker placements, and major cardiac and thoracic surgeries
• Operate and monitor specialized equipment including Doppler, bladder scanner, EKG, TR band, Fem-stop, and epicardial pacing wires
• Document using EPIC, communicate via SBAR, and administer medications via Pyxis; adhere to unit float rotation and weekend requirements (4 shifts per 4-week period)

Required Qualifications

• Active RN license in North Carolina or a valid Compact state license
• Minimum of 2 years of experience on a cardiac floor
• Travel nursing experience required unless candidate holds more than 24 months of cardiac experience
• Current BLS, ACLS, and NIHSS certifications
• Proficiency in cardiac telemetry, PCU/DOU/IMC/Stepdown care, sheath removal, dysrhythmia interpretation and management, post-MI care, pre/post cardiac cath care, and non-invasive airway management (CPAP/BiPAP, nasal cannula)
• Must pass EKG testing prior to start

Preferred Experience / Skills

• Arterial line management experience
• Wound care and wound vac experience
• Charge nurse experience

Why Join Us

• Opportunity to work in a high-acuity cardiac specialty environment with exposure to advanced procedures including TAVR, CABG, Mitral Clip, and LAAO
• Structured orientation provided with a defined float policy — travelers are not first to float per unit rotation