RN: PCU/Stepdown

Location: Winston Salem, North Carolina
Job Type: Local
Start Date: 2026-11-02
End Date: 2027-03-22

Weekly Pay: $1,396.00
Profession: RN
Specialty: PCU/Stepdown
Duration: 12H Days ( 7:00 AM-7:00 PM )

Registered Nurse (RN)

Job Description

We are seeking a skilled Registered Nurse to join our team in an Intermediate Care Unit. This position operates similarly to an ICU, providing care for patients requiring close monitoring and management.

Key Responsibilities

  • Manage patient care for a variety of diagnoses including respiratory distress, unstable hemodynamics, withdrawal, and post-operative recovery.
  • Perform telemetry monitoring and interpretation of dysrhythmias.
  • Administer and titrate vasoactive drips, including but not limited to Cardizem, Nitro, Precedex, and Levophed.
  • Provide conscious sedation and manage IV insulin protocols.
  • Execute blood product administration and central line care/management.
  • Utilize Rapid Response Teams and adhere to isolation precautions.
  • Manage indirect airway procedures, including tracheostomy management and BIPAP settings.
  • Monitor patient age groups from adolescents to geriatrics and provide tailored care.

Qualifications

  • Minimum of 2 years of nursing experience, preferably in PCU, DOU, IMC, or Stepdown settings.
  • First-time travelers are welcome to apply; local candidates accepted with rate differences.
  • Required certifications: ACLS, BCLS, NIH.
  • Experience with arterial lines, conscious sedation, telemetry, and rapid response protocols.
  • Ability to recognize and manage dysrhythmias on bedside telemetry monitors.

Schedule and Commitment

  • Target nurse-to-patient ratios of 1:3-4.
  • Available shifts: 12-hour day shifts (06:45 – 19:15).
  • Weekend commitment required: every other weekend.
  • Floating to sibling ICCU as needed.

Special Equipment and Procedures

  • Utilization of bedside telemetry monitors, with remote backup capabilities.
  • Management of specialized equipment including chest tubes and high-flow nasal cannulae (HFNC).
  • Policy for only one pressor drip per patient, with transfers to ICU for more complex cases.

Internal Notes

  • Orientation required during the first week; daily participation in classes is mandatory.
  • All nurses must pass EKG testing prior to starting in this specialty.
  • Scrubs must be navy, white, or a combination of both.

Online Portal

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

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