Cardiac Stepdown | Registered Nurse

Cardiac Stepdown Registered Nurse (RN) – Travel Nursing Contract in Wilmington, NC

Join a dynamic cardiac stepdown nursing team in Wilmington, North Carolina, as a Travel Registered Nurse (RN) caring for adult and geriatric patients with complex cardiovascular and post-surgical needs. This 13-week travel nursing assignment offers consistent night shifts, a collaborative clinical environment, and the opportunity to strengthen your expertise in cardiac telemetry, vascular care, and progressive care nursing. Wilmington is a scenic coastal community known for its riverfront downtown, nearby beaches, historic charm, and welcoming atmosphere.

Travel RN Job Details

• Weekly Estimated Pay: $1,770–$1,860
• Location: Wilmington, North Carolina
• Assignment Type: 13-week travel nursing contract
• Start Date: October 26, 2026
• Shift: Night shift, 6:45 p.m.–7:15 a.m.
• Schedule: Three 12-hour shifts per week; 36 hours weekly
• Patient Population: Adult and geriatric patients
• Typical Nurse-to-Patient Ratio: Approximately 1:6, based on patient acuity
• Weekend Coverage: Required
• Call: Not required
• Orientation: 24 hours
• Floating: Must be willing to float within or near the facility as needed
• Holiday Coverage: Must be willing to work holidays, including two of three major holidays

Cardiac Stepdown RN Job Requirements

• Current Registered Nurse (RN) license in North Carolina or a compact state; pending licensure may be considered for submission
• At least 2 years of cardiac nursing experience
• Progressive care, cardiac stepdown, medical-surgical, or telemetry nursing experience preferred
• Current BLS and ACLS certifications
• NIHSS certification preferred
• Strong cardiac telemetry monitoring and dysrhythmia interpretation skills
• Experience with cardiac drips, including titration and non-titrated infusions
• Experience with post-cardiac catheterization care and sheath removal
• Ability to successfully complete specialty-specific EKG testing before the assignment begins
• Proficiency with electronic documentation; Epic experience preferred

Cardiac Stepdown Nursing Responsibilities

• Provide comprehensive nursing care for patients with cardiac, vascular, thoracic, and post-procedural diagnoses
• Monitor cardiac telemetry and identify changes in cardiac rhythms, patient condition, and clinical status
• Care for patients with atrial fibrillation, congestive heart failure, acute coronary syndrome, coronary artery disease, cardiomyopathy, valvular disease, endocarditis, peripheral vascular disease, and related conditions
• Deliver pre- and post-procedure care for cardiac catheterization, cardioversion, electrophysiology procedures, pacemaker placement, and cardiac and vascular surgeries
• Manage chest tubes, femoral sheaths, TR bands, Fem-Stop devices, epicardial pacing wires, peripheral lines, and central lines
• Assess and manage patients following CABG, valve replacement, TAVR, MitraClip, Watchman, VATS, carotid endarterectomy, bypass procedures, and other cardiac or thoracic surgeries
• Administer and monitor cardiac medications and infusions according to clinical orders and unit standards
• Collaborate with providers, rapid response teams, respiratory therapy, pharmacy, rehabilitation services, and other members of the interdisciplinary care team
• Document patient assessments, interventions, and outcomes accurately in the electronic health record
• Float as assigned and support patient care needs during high census, emergencies, or operational changes

Apply now to advance your travel nursing career as a Cardiac Stepdown Registered Nurse in Wilmington, North Carolina.

Benefits

401K with Matching, Healthcare, Dental and Vision

Equal Opportunity

We are an equal opportunity employer and value diversity across our organization. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.