Travel Nurse RN - Intensive Care Unit (ICU) / Critical Care in Winston-Salem, NC

Key Responsibilities Provide direct patient care in a high-acuity stepdown/ICCU setting managing a 1:3–4 patient ratio with diagnoses including respiratory distress, unstable hemodynamics, GI bleeds, withdrawal, and post-operative patients across GYN, GU, GI, neuro, ortho, and thoracic specialties. Manage arterial lines, central lines, PICC lines, peripheral lines, chest tubes (Emerson/Pleur-evac), tracheostomies, BIPAP/CPAP, and high-flow nasal cannula (HFNC).

Job Title

Registered Nurse – ICU Stepdown (ICCU)

Location

Winston-Salem, NC | Acute Care

Schedule / Job Type

Contract | Night Shift (12-hour nights, 6:45 PM – 7:15 AM) | 36 or 48 hours per week available | 13-week assignment or longer

Key Responsibilities

• Provide direct patient care in a high-acuity stepdown/ICCU setting managing a 1:3–4 patient ratio with diagnoses including respiratory distress, unstable hemodynamics, GI bleeds, withdrawal, and post-operative patients across GYN, GU, GI, neuro, ortho, and thoracic specialties
• Titrate and manage vasoactive drips including Cardizem, Nitro, Precedex, Cardene, Levophed, Dopamine, Dobutamine, and Neo; administer IV insulin and heparin protocols
• Monitor, recognize, and treat dysrhythmias using bedside telemetry with remote backup; EKG competency testing required prior to start
• Manage arterial lines, central lines, PICC lines, peripheral lines, chest tubes (Emerson/Pleur-evac), tracheostomies, BIPAP/CPAP, and high-flow nasal cannula (HFNC)
• Administer blood products, participate in rapid response team activations, and maintain isolation precautions
• Float as needed to a sister ICCU unit; work every other weekend per unit requirement

Required Qualifications

• Active RN license in North Carolina or a Compact state (pending licensure accepted for submission)
• Minimum 2 years of RN experience in a PCU, DOU, IMC, stepdown, or telemetry setting
• ACLS, BLS, and NIH stroke certification required
• Demonstrated experience with arterial lines, titrating vasoactive drips, telemetry interpretation and management, IV starts, and conscious sedation
• Proficiency with Epic and Pyxis
• Local candidates within 50 miles of the facility are accepted; a lower rate applies

Preferred Experience / Skills

• Prior travel nursing experience (first-time travelers accepted)
• Experience managing pre/post OB patients with complications including Pitocin administration
• Familiarity with tracheostomy management and non-invasive airway management in a non-ventilator environment
• Experience caring for adolescent through geriatric patient populations

Why Join Us

• Work in a dynamic, high-acuity stepdown environment that offers ICU-level clinical experience without ventilator management, ideal for nurses looking to sharpen critical care skills
• Flexible scheduling options with 36 or 48 hours per week available and the potential for extended assignment length