Registered Nurse IMC/PCU/Stepdown

Job Title

Registered Nurse – IMC/PCU/Stepdown

Location

Winston-Salem, NC | Stepdown/IMC

Schedule / Job Type

Contract | 12-Hour Night Shifts (18:45–07:15) | 36 or 48 hours per week available | Every other weekend required | 13-week assignment (minimum)

Key Responsibilities

• Provide direct patient care in a high-acuity IMC/PCU/Stepdown environment that runs similarly to an ICU, managing a patient ratio of 1:3–4
• Monitor, interpret, and manage cardiac dysrhythmias using bedside and remote telemetry systems; must be able to recognize and treat dysrhythmias independently
• Titrate and manage vasoactive drips including Cardizem, Nitro, Precedex, Cardene, Levophed, Dopamine, Dobutamine, and Neo; limited to one pressor drip per patient
• Care for patients with diagnoses including respiratory distress, unstable hemodynamics, GI bleeds, post-operative recovery (GYN, GU, GI, thoracotomies, neuro, ortho), neurological events, withdrawal, and pre/post OB complications
• Manage specialized equipment and procedures including arterial lines, BIPAP, chest tubes (Emerson/Pleur-evac), tracheostomies, HFNC, PICC lines, and central lines; no ventilators on unit
• Float as needed to a sister ICCU unit; document using Epic and retrieve medications via Pyxis

Required Qualifications

• Active NC RN license or valid Compact RN license (pending licensure acceptable for submission)
• Minimum 2 years of RN experience in PCU/DOU/IMC/Stepdown or comparable high-acuity setting
• ACLS, BLS, and NIH Stroke Scale certifications required
• Must pass EKG testing prior to start
• Demonstrated experience with arterial lines, titrating vasoactive drips, IV insulin protocols, heparin protocols, blood product administration, and isolation precautions
• Local candidates are welcome; please note that a local rate applies for candidates residing within 50 miles of the facility

Preferred Experience / Skills

• Experience with rapid response team protocols and post-rapid-response patient management
• Familiarity with conscious sedation and IV insertion
• Prior travel nursing experience (first-time travelers are accepted)
• Comfort managing a diverse patient population ranging from adolescent to geriatric

Why Join Us

• Work in a dynamic, high-acuity stepdown environment that offers ICU-level clinical challenges and skill development
• Flexible weekly hour options (36 or 48 hours) with a supportive scheduling structure