Registered Nurse IMC/PCU/Stepdown

Job Title

Registered Nurse – IMC/PCU/Stepdown (Neuro Stepdown)

Location

Charlotte, NC | Intermediate Care / Stepdown

Schedule / Job Type

Contract | 12-Hour Nights (18:45–07:15) | 3x12 per week | 36- and 48-hour weeks may be available | Contracts of 16+ weeks considered | Onsite

Key Responsibilities

• Provide intermediate-level nursing care to a sub-specialized neurological and medical intermediate patient population with a nurse-to-patient ratio of 1:4
• Monitor and manage cardiac telemetry, interpret and manage dysrhythmias, and participate in Rapid Response and Code team activations
• Administer and manage complex IV therapy including blood products, heparin protocols, PCA, thrombolytic agents, and titration of cardiac and vasoactive drips, including titration of Levophed (LEVO)
• Provide neurological nursing care for patients presenting with CVA, intracranial bleeds, traumatic brain injury, aneurysms, craniotomy, seizure disorders, spinal cord injury, and post-TPA care, including management of lumbar drains and ICP monitoring
• Manage respiratory support modalities including BiPAP/CPAP, high-flow nasal cannula, tracheostomy care, chest tubes, and ventilated patient care, including interpretation of ABGs
• Float as needed to other intermediate areas and critical care stepdown units per unit needs; expected to work a minimum of 3 weekend shifts every six weeks

Required Qualifications

• Active RN license in North Carolina or a valid Compact state license
• Minimum 2 years of RN experience required</strong>; first-time travelers will not be considered
• Neuro Stepdown, PCU/DOU/IMC/Stepdown, and Telemetry experience required</strong>; limited neuro experience must be disclosed at time of submission
• Required certifications: ACLS, BLS, and NIHSS
• EPIC EMR experience required</strong>; must also be proficient with Pyxis and SBAR communication
• Must pass EKG testing prior to start
• Local candidates are welcome; candidates within 50 miles of the facility should be aware that a lower rate applies

Preferred Experience / Skills

• Experience with port access/management and phlebotomy
• Experience with triage, ICP monitoring, and conscious sedation
• Charge nurse experience
• Preferred certifications: CCRN, TNCC, CPI

Why Join Us

• Work within a specialized neuro intermediate care unit serving a diverse and clinically complex patient population, offering strong opportunities to develop advanced neurological and critical care nursing skills
• Longer contract terms available, providing stability and continuity through an extended engagement