Job Opportunity – Neuro ICU Registered Nurse – North Carolina
Start Date: October 2026
Location: North Carolina
Compensation: Details provided to qualified applicants
Schedule: 12-hour night shifts (18:45 - 07:15); 36 hours per week with every other weekend required; 13-week assignment available; float requirement applies
Highlights:
- Comprehensive Stroke Center specializing in acute stroke care, hemorrhagic strokes, craniotomies, and complex neurosurgical cases
- Patient ratios of 2:1, with potential to flex to 3:1 during high census periods
- Average daily census of 11-12 patients in a 13-bed unit
- Epic EMR system with full interdisciplinary support including IV teams, respiratory services, rapid response teams, and pharmacy
- Specialized equipment including EVDs, lumbar drains, Camino ICP monitoring, LICOX, NICOM, and Arctic Sun
- 24-hour orientation period over 2 shifts with comprehensive onboarding
Requirements:
- Minimum 2 years of Neuro ICU experience required (strong neuro critical care background essential, not general ICU)
- Previous travel nursing experience required; first-time travelers will not be accepted
- Active RN license (North Carolina or Compact state license)
- Current certifications: ACLS, BLS, and NIH Stroke Scale (NIHSS)
- Must pass EKG testing prior to start date
- Proficiency in ventriculostomy management (EVDs), lumbar drains, ICP monitoring, and post-neurosurgery care
- Experience with stroke management (ischemic and hemorrhagic), ventilated patients, blood product administration, and central line management
- Skills in dysrhythmia interpretation and management, continuous IV sedation, and isolation precautions
- Comfort with floating to other units as needed
- Flu vaccination required (medical/religious exemptions only)
Preferred Qualifications:
- Arterial line management experience
Patient Population:
This unit serves as a Comprehensive Stroke Center with a patient population that includes ischemic and hemorrhagic strokes (including subarachnoid hemorrhage), subdural hematomas, post-craniotomy patients, carotid stents and endarterectomies, aneurysm coiling and clipping, seizures, depth electrodes, and myasthenia gravis. Stroke patients represent one of the largest populations served.
Why It's a Great Opportunity:
Join a dedicated neuro critical care team at a leading Comprehensive Stroke Center where you'll care for complex neurological and neurosurgical patients using advanced monitoring and treatment technologies. This role offers the opportunity to work with a highly specialized patient population while collaborating with exceptional interdisciplinary support services, making a meaningful impact on patients experiencing life-threatening neurological emergencies and recovering from critical neurosurgical procedures.