Travel Nurse RN - Stepdown - $2,040 per week in Wilmington, NC

Registered Nurse (RN) | Stepdown
Location: Wilmington, NC
Agency: Revolution Healthcare Services
Pay: $2,040 per week
Shift Information: Nights - 3 days x 12 hours
Contract Duration: 13 Weeks
Start Date: 10/12/2026

About the Position

TravelNurseSource is working with Revolution Healthcare Services to find a qualified Stepdown RN in Wilmington, North Carolina, 28401!

```htmlJob Opportunity – Registered Nurse (RN) – Cardiac Telemetry/Stepdown – North Carolina

Start Date: October 12, 2026

Location: Wilmington, North Carolina

Compensation: Details provided to qualified applicants

Schedule: Night shift, 36 hours per week, 13-26 week assignments available. Patient ratios typically 1:6, varying by acuity. Weekend requirement: 4 shifts per 4-week period (flexible scheduling). Float requirements follow standard unit rotation.

Highlights:

• High-acuity cardiac telemetry and stepdown unit with 44 beds and diverse patient population including post-surgical cardiac and vascular patients
• Comprehensive case mix including post-CABG, TAVR, Mitral Clip, LAAO (Watchman), electrophysiology procedures, and complex cardiac conditions
• 24-hour orientation with Epic charting system and Pyxis medication management
• Advanced skills including sheath removal, cardiac drip management and titration, chest tube management, and non-invasive airway support
• Collaborative interdisciplinary team including physical therapy, respiratory services, pharmacy, rapid response teams, and full clinical support staff
• Local candidates accepted; up to 7 days of pre-approved time off available (excludes first week and holidays)

Requirements:

• Current North Carolina or Compact RN license
• Minimum 2 years of recent cardiac telemetry or stepdown experience required
• Previous travel nursing experience required unless candidate has more than 24 months of cardiac experience
• Current BLS, ACLS, and NIHSS certifications required
• Must pass EKG competency testing prior to start date
• Proficiency in cardiac telemetry monitoring, dysrhythmia interpretation and management, sheath removal, cardiac drip management (with and without titration), chest tube care, and non-invasive airway management
• Experience with post-MI care, pre/post cardiac catheterization, and management of complex cardiac diagnoses including CHF, ACS, atrial fibrillation, and valvular disorders
• Familiarity with Epic charting system preferred
• Must be available for interview prior to offer; manager conducts interviews with all candidates
• Flu vaccination required (medical/religious exemptions only)

Preferred Qualifications:

• Arterial line management experience
• Wound care and wound VAC experience
• Previous charge nurse experience

Patient Population & Clinical Focus:

• Adult and geriatric patients with cardiac and vascular conditions
• Post-operative care following CABG, valve replacements (AVR, MVR), TAVR, carotid endarterectomy, vascular bypass procedures, and thoracic surgeries
• Post-procedural monitoring following cardiac catheterization, cardioversion, electrophysiology studies, and pacemaker placements
• Management of complex cardiac diagnoses including endocarditis, cardiomyopathy, peripheral vascular disease, and venous stasis

Special Equipment & Technology:

• Cardiac monitoring and telemetry systems
• Femoral sheaths, TR bands, and Fem-stop devices for vascular access management
• Chest tubes (Emerson/PleurEvac systems) and epicardial pacing wires
• Non-invasive respiratory support (CPAP/BiPAP, nasal cannula)
• Doppler ultrasound, bladder scanner, and EKG equipment
• Arterial line monitoring (preferred skill)

Additional Information:

• Contract staff may be assigned to Storm Team/Hurricane Team and may be required to report during catastrophic events, mass casualties, or disasters
• Unit consolidation and reassignment may occur mid-contract based on facility needs
• Pre-start online modules required (approximately 8-10 hours, non-billable, must be completed using Google Chrome or Microsoft Edge)
• Navy scrubs required
• Former facility employees must wait 12 months before applying
• Must work 2 of 3 major holidays during assignment

Why It's a Great Opportunity:

This position offers the chance to work with a highly skilled cardiac care team managing complex post-surgical and medical cardiac patients in a well-equipped stepdown environment. You'll utilize advanced cardiac nursing skills including hemodynamic monitoring, cardiac drip titration, and post-procedural care while benefiting from comprehensive interdisciplinary support. This role is ideal for experienced cardiac nurses seeking to expand their expertise across a diverse range of cardiovascular and vascular patient populations in a dynamic clinical setting.

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About Revolution Healthcare Services

At Revolution Healthcare Services, we are dedicated to fostering a personal connection and building relationships with each candidate. We recognize that everyone's situation is unique. Guided by the principle of treating others as we would like to be treated, we aim to represent our partners with the highest level of respect and professionalism. Our mission is to empower healthcare professionals by connecting them with Travel, Permanent, local contract, and PRN opportunities across the United States that align with their career goals. We are here to support you at every step of your journey.

Requirements

Required for Onboarding

• General Progressive Care Unit
• Progressive Care RN

30797636EXPPLAT