Travel Nurse RN - Intermediate Care in Winston-Salem, NC

Key Responsibilities Provide high-acuity stepdown care for patients with diagnoses including respiratory distress, unstable hemodynamics, GI bleeds, withdrawal, and post-operative recovery (GYN, GU, GI, thoracotomy, neuro, and ortho surgeries). Titrate and manage vasoactive drips including Cardizem, Nitro, Precedex, Cardene, Levophed, Dopamine, Dobutamine, and Neo; unit allows one pressor drip per patient.

Job Title

Registered Nurse – IMC/PCU/Stepdown

Location

Winston-Salem, NC | Acute Care

Schedule / Job Type

Contract | Night Shift (3x12 Hours, 6:45 PM – 7:15 AM) | 36 or 48 hours per week available | Every other weekend required

Key Responsibilities

• Provide high-acuity stepdown care for patients with diagnoses including respiratory distress, unstable hemodynamics, GI bleeds, withdrawal, and post-operative recovery (GYN, GU, GI, thoracotomy, neuro, and ortho surgeries)
• Monitor, interpret, and manage 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; unit allows one pressor drip per patient
• Manage arterial lines, central lines, PICC lines, peripheral lines, chest tubes, tracheostomies, BIPAP/CPAP, and high-flow nasal cannula (HFNC)
• Administer blood products, IV insulin protocols, and Heparin protocols; apply isolation precautions as required
• Float as needed to a sister ICCU unit; participate in Rapid Response Team activations and care for post-rapid-response patients

Required Qualifications

• Active RN license in North Carolina or a valid Compact RN license (pending licensure acceptable for submission)
• Minimum 2 years of RN experience in PCU, DOU, IMC, or Stepdown setting
• ACLS certification required
• BLS/BCLS certification required
• NIH Stroke Scale (NIHSS) certification required
• Must pass EKG/telemetry testing prior to start; experience with arterial lines and titrating vasoactive drips is required
• Local candidates residing within 50 miles of the facility are welcome to apply; a local pay rate will apply

Preferred Experience / Skills

• Experience with conscious sedation and IV insertion
• Familiarity with Epic and Pyxis systems
• Experience caring for a broad patient population including adolescent, adult, and geriatric patients
• Prior travel nursing experience (first-time travelers accepted)

Why Join Us

• Work in a high-acuity stepdown environment that runs similarly to an ICU, offering strong clinical growth and skill development
• Flexible contract length of 13 weeks or longer with scheduling managed by the nurse manager