```htmlJob Opportunity – Registered Nurse / Cardiac Telemetry Stepdown – North Carolina
Start Date: October 19, 2026
Location: North Carolina
Compensation: Details provided to qualified applicants
Schedule: 12-hour night shifts (18:45 - 07:15), 36 hours per week. Every other weekend required, plus 2 Mondays and 2 Fridays in a 6-week period. Float and call requirements based on unit needs. Contract available through February 27, 2027.
Highlights:
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High-acuity cardiac and stroke telemetry unit with 1:5-6 patient ratios
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Fast-paced environment averaging 78-90 patient turnovers per week with team lead support
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Care for pre/post cardiac procedures including pacemaker implantation, cardiac catheterization, ICD placement, and peripheral vascular interventions
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Manage and titrate cardiac drips including Cardizem, Amiodarone, and Dopamine
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Epic (Dimensions) charting system with Pyxis medication management
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36-hour orientation program with dedicated first-week availability required
Requirements:
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Minimum 2 years of cardiac telemetry nursing experience with high-acuity patient populations
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Current RN license (North Carolina or Compact state)
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ACLS, BLS, and NIHSS certifications required
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Proficiency in IV starts, telemetry interpretation, cardiac drip management and titration
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Experience with pre/post-procedure cardiac patients, PCI, TR bands, and cardiac catheterization care
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Ability to manage 6-patient assignments comfortably in a fast-paced setting
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Must pass EKG competency testing prior to start date
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Epic charting experience preferred
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First-time travelers accepted; local candidates welcome
Why It's a Great Opportunity:
This position offers an excellent opportunity to advance your cardiac nursing skills in a dynamic, high-volume telemetry stepdown unit. You'll work alongside a collaborative interdisciplinary team including physical therapy, respiratory services, pharmacy, and rapid response teams while caring for a diverse cardiac and stroke patient population. With team lead support for admissions and discharges, you'll gain valuable experience managing complex cardiac conditions, multiple drip titrations, and post-procedural care in a supportive environment that values clinical excellence.
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