RN: PCU/Stepdown

Location: Winston Salem, North Carolina
Job Type: Local
Start Date: 2026-11-09
End Date: 2027-02-08

Weekly Pay: $1,515.00
Profession: RN
Specialty: PCU/Stepdown
Duration: 06:45 PM - 07:15 AM

Registered Nurse (RN)

Job Description

We are seeking a highly skilled and dedicated Registered Nurse (RN) to join our team. The ideal candidate will have experience in a mixed acuity unit and demonstrate proficiency in patient care for a variety of respiratory conditions.

Qualifications

  • Minimum Years of Experience: 2 years required
  • Traveler Experience: Unit will accept first-time travelers
  • Local Candidates: Accepted
  • Required Skills:
    • IV start
    • Ventilator management
    • Telemetry monitoring
    • CPAP/BiPAP usage
    • Interpretation and management of dysrhythmias
  • Certifications:
    • ACLS (Advanced Cardiovascular Life Support)
    • BLS (Basic Life Support)
  • Preferred Certification: NIHSS (National Institutes of Health Stroke Scale)

Job Details

  • Target Ratios: 1:4-5 (mixed acuity unit, with PCU and MS/Tele patients)
  • Extreme Situations: May adjust to a 1:6 ratio
  • Contract Duration: 13-26 weeks accepted
  • Shift: 12-hour night shifts from 18:45 to 07:15
  • RTO (Requested Time Off): 7 days maximum for auto-offer
  • Weekend Requirement: Every other weekend

Patient Population

The unit primarily serves patients with conditions such as:

  • COPD exacerbations
  • Pneumonia
  • Respiratory distress
  • COVID-19
  • Influenza
  • Pulmonary embolisms

Please note that the patient population may include those who have tested positive for COVID-19.

Unit Information

Our unit operates with a higher acuity level compared to a standard medical-surgical unit. Key features include:

  • A team lead present with a 3:1 patient-to-nurse ratio
  • Two respiratory therapists available for collaboration
  • An assistant nurse manager providing support
  • A total of 48 beds on the unit
  • Patient care assistants ratio of 9-10:1

Available resources also include an Admission/Discharge nurse, a Vascular Access Team, Rapid Response Team, Code Team, and Behavioral Health Team.

Special Equipment

The unit is equipped to handle a variety of medical equipment and drips, including:

  • Chest tubes
  • Dopamine
  • Cardizem
  • Heparin
  • Ventilators, tracheostomy tubes, CPAP, and BiPAP devices

Unit Systems

Our unit utilizes the following systems:

  • Pyxis
  • EPIC
  • SBAR communication method

Orientation and Scheduling

New staff will undergo a 24-hour orientation to familiarize themselves with unit protocols. The unit can accommodate block scheduling if the needs of the unit are met.

Scrubs

Scrubs are not provided; candidates are required to wear white or navy blue scrubs.

Additional Information

Candidates must pass EKG testing prior to starting in this specialty.

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

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