RN: PCU/Stepdown

Location: Winston Salem, North Carolina
Job Type: Local
Start Date: 2026-10-19
End Date: 2027-01-18

Weekly Pay: $1,917.00
Profession: RN
Specialty: PCU/Stepdown
Duration: 12HR x 4 Nights

Registered Nurse (RN)

Job Description

We are seeking a highly skilled and dedicated Registered Nurse to join our team in the Intermediate Care Unit. This position demands strong experience in a fast-paced environment, similar to an Intensive Care Unit (ICU). Candidates must have expertise in managing complex cases and a variety of medical procedures.

Key Responsibilities

  • Provide comprehensive nursing care for patients requiring intermediate care, including post-rapid response team patients.
  • Monitor and interpret telemetry, manage dysrhythmias, and administer vasoactive drips.
  • Perform routine and specialized procedures as necessary, including arterial line placement and care, central and peripheral line management, and blood product administration.
  • Utilize Rapid Response Teams effectively and follow IV insulin protocols.
  • Administer and monitor high-flow nasal cannula (HFNC), non-invasive airway management, and tracheostomy care.
  • Participate in the management of patients with respiratory distress, unstable hemodynamics, and post-operative complications.

Qualifications

  • Minimum of 2 years of nursing experience in a similar unit (PCU, DOU, IMC, Stepdown).
  • First-time travelers are welcome; local candidates accepted.
  • Required certifications: ACLS, BCLS, NIH, with experience in IV starts, telemetry, and conscious sedation.
  • Proficient in using bedside telemetry monitors and recognizing/treating dysrhythmias.

Shift Details

  • Night shifts, 4 days per week (12-hour shifts from 18:45 to 07:15).
  • Target patient-to-nurse ratios of 1:3-4.
  • Floating to sister units may be required as needed.
  • Every other weekend commitment is expected.

Unit Information

This unit functions effectively with a capacity of 20 beds, primarily dealing with complex cases such as GI bleeds, post-operative patients, and patients with neurological and orthopedic complications. Equipment includes bedside telemetry monitors with remote backup to enhance patient safety.

Scrubs

Required scrubs: Navy, white, or a combination of both.

Additional Notes

  • Hospital orientation will occur in the first week; attendance is mandatory for training sessions.
  • Successful completion of EKG testing is required prior to starting in this specialty.

Online Portal

You’re not just a number at Wellspring, you’re a highly valued member of our family.

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