```htmlJob Opportunity – Registered Nurse / Neuro Stepdown – North Carolina
Start Date: October 2026
Location: North Carolina
Compensation: Details provided to qualified applicants
Schedule: 12-hour night shifts (6:45 PM - 7:15 AM), 36 or 48-hour work weeks available, 1:4 nurse-to-patient ratio, 3 weekend shifts required every six weeks, float to other intermediate and critical care areas as needed
Highlights:
- Specialized 24-bed neuro stepdown unit with intermediate medical patient population
- Epic EMR system with comprehensive interdisciplinary support including IV teams, respiratory services, pharmacy, and rapid response teams
- Contract lengths from 16+ weeks available through February 2027
- Comprehensive 32-hour orientation program including computer training and unit-based clinical orientation
- No on-call requirement; predictable scheduling with structured weekend rotation
- Opportunity to work with complex neurological cases including CVA, traumatic brain injury, aneurysm repair, and post-neurosurgery patients
Requirements:
- Active RN license (North Carolina or Compact state)
- Minimum 2 years of acute care nursing experience required
- Neuro stepdown, PCU/DOU/IMC, or telemetry experience strongly preferred
- Prior travel nursing experience required; first-time travelers cannot be considered
- Current certifications: BLS, ACLS, and NIHSS (required); CCRN, TNCC, and CPI (preferred)
- Epic charting system experience required
- Proficiency in vasoactive drip titration including Levophed, cardiac monitoring with dysrhythmia interpretation and management, and ventilated patient care
- Competency in comprehensive neurological nursing skills including craniotomy care, CVA management, lumbar drains, post-TPA care, seizure management, spinal cord injury, and traumatic brain injury
- Experience with complex critical care procedures: blood product administration, central line and PICC management, IV therapy, heparin and insulin protocols, chest tubes, tracheostomy care, BiPAP/CPAP, and arterial blood gas interpretation
- Strong teamwork orientation and adherence to professional behavioral standards
- Strict adherence to attendance policies required
Why It's a Great Opportunity:
This position offers the chance to develop advanced neuro critical care skills while working with a collaborative interdisciplinary team in a well-resourced intermediate care environment. You'll care for a diverse patient population with complex neurological and medical conditions, supported by comprehensive clinical resources and a structured orientation program. The unit values professionalism, teamwork, and clinical excellence, making it an ideal setting for experienced travelers seeking to expand their neurological nursing expertise.
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