PCU RN
Wilmington, NC
Concentric Healthcare Staffing
3x12 hrs, Nights

Job Title

Registered Nurse – Cardiac Stepdown

Location

Wilmington, NC

Schedule / Job Type

Contract | Nights | 3x12-Hour Shifts (18:45–07:15) | 36 Hours per Week | 13–26 Week Assignments

Key Responsibilities

• Provide direct patient care on a cardiac stepdown unit managing diagnoses including Atrial Fibrillation, CHF, ACS, CAD, valvular conditions, cardiomyopathy, and peripheral vascular disease
• Monitor and interpret cardiac telemetry and dysrhythmias; manage and titrate cardiac drips as indicated
• Perform and assist with sheath management and removal, femoral sheath care, and post-procedural monitoring following cardiac catheterization, DCCV, electrophysiology procedures, and pacemaker placements
• Operate and manage specialized equipment including chest tubes, epicardial pacing wires, arterial lines, TR band, Fem-stop, Doppler, bladder scanner, and EKG
• Provide post-operative care for patients following cardiac, thoracic, and vascular surgeries including CABG, AVR, MVR, TAVR, VATS, carotid endarterectomy, and FEM-POP bypass
• Document using EPIC, communicate via SBAR, and administer medications via Pyxis; adhere to unit float rotation and weekend requirements

Required Qualifications

• Minimum 2 years of experience on a cardiac floor required
• Travel nursing experience required unless candidate has more than 24 months of cardiac experience
• Active RN license in North Carolina or a Compact state
• Current BLS, ACLS, and NIHSS certifications
• Demonstrated skills in cardiac telemetry, PCU/DOU/IMC/stepdown care, interpretation and management of dysrhythmias, 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
• Prior charge nurse experience

Why Join Us

• Work in a high-acuity cardiac stepdown environment with exposure to a broad range of complex cardiac, thoracic, and vascular procedures and diagnoses
• Structured orientation provided with clear float expectations and a supportive unit rotation policy