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.
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