ADEX Healthcare Staffing LLC is seeking a travel nurse RN Cardiac Stepdown for a travel nursing job in Wilmington, North Carolina.

Job Description & Requirements

• Specialty: Cardiac Stepdown
• Discipline: RN
• Start Date: 01/05/2026
• Duration: 13 weeks
• 36 hours per week
• Shift: 12 hours, nights
• Employment Type: Travel

Opportunity:

RN - Stepdown

Job Details:

• Work night shifts only, 36 hours per week
• 13-26 week contract assignments accepted
• Patient ratios vary by acuity: 1:4 for surgical step down, 1:5-6 for lower acuity
• Weekend requirement: 4 weekends per 4 weeks (flexible scheduling)
• Float requirement: Will follow unit rotation, not first to float
• 24-hour orientation required
• Must pass EKG testing prior to start
• Navy scrubs required
• Minimum 2 years cardiac floor experience required
• Travel experience required unless candidate has more than 24 months cardiac experience
• Required certifications: BLS, ACLS, NIHSS
• Required skills: Cardiac telemetry, PCU/DOU/IMC/Stepdown, sheath removal, interpretation and management of dysrhythmias, post MI care, pre/post cardiac cath, cardiac drip management and titration, chest tubes, external CPAP/BIPAP, non-invasive airway management
• Preferred skills: Arterial line management, wound care/wound vac, charge experience
• Work with special equipment including Doppler, bladder scanner, EKG, femoral sheaths, TR band, Fem-stop, chest tubes, epicardial pacing wires
• Use EPIC documentation system and Pyxis medication system
• Care for patients with conditions including atrial fibrillation, CHF, ACS, CAD, endocarditis, cardiomyopathy, and various cardiac procedures
• Must be available to work storm team/hurricane team during catastrophic events
• Cannot work more than 5 consecutive days or 60 hours per week
• Complete 8-10 hours of non-billable modules pre-start and annually
• Interview required for all candidates

Facility:

This major regional medical center operates a comprehensive cardiac stepdown unit specializing in post-cardiac surgery care and complex cardiac conditions. The facility features advanced cardiac services including a full range of cardiac surgeries, interventional procedures, and specialized cardiac care units. The organization provides extensive interdisciplinary support including physical therapy, respiratory services, pharmacy, and rapid response teams to ensure comprehensive patient care in a 44-bed cardiac stepdown unit.

Location:

Wilmington, NC

Wilmington offers a perfect blend of coastal living and urban amenities, featuring beautiful beaches, historic charm, and a vibrant downtown area. The city provides excellent year-round weather and numerous recreational opportunities including water sports, fishing, and outdoor activities, making it an ideal location for healthcare professionals seeking both career growth and lifestyle balance.

Adex Job ID #3094998. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined.

About ADEX Healthcare Staffing LLCBenefits

• Referral bonus