Job Opportunity – Progressive Care Unit / ICU Stepdown Registered Nurse – North Carolina
Start Date: October 5, 2026
Location: Winston Salem, North Carolina
Compensation: Details provided to qualified applicants
Schedule: 12-hour night shifts, 36 or 48 hours per week available. Every other weekend required. Nurse-patient ratio typically 1:3-4. Contract length of 13 weeks or longer available.
Highlights:
- ICU stepdown unit operating with critical care acuity – strong vasoactive drip titration and arterial line experience required
- Diverse case mix including post-rapid response patients, respiratory distress, hemodynamic instability, GI bleeds, and post-operative care across multiple specialties
- Epic charting system with Pyxis medication management
- 18-20 bed unit with average daily census of 18 patients serving adolescent, adult, and geriatric populations
- Floating to sister ICCU unit as needed; comprehensive interdisciplinary support including IV teams, respiratory services, rapid response teams, and pharmacy
- First-time travelers accepted; local candidates welcome
Requirements:
- Minimum 2 years of progressive care, stepdown, or telemetry nursing experience
- Current ACLS, BLS, and NIH Stroke Scale certifications required
- North Carolina or Compact State RN license
- Strong experience with arterial line management and titrating vasoactive drips (Cardizem, Nitro, Precedex, Cardene, Levophed, Dopamine, Dobutamine, Neosynephrine)
- Proficiency in telemetry interpretation and dysrhythmia management
- Experience with blood product administration, central line and PICC line management, chest tubes, BiPAP/CPAP, high-flow nasal cannula, and tracheostomy care
- IV start, conscious sedation, heparin protocols, and IV insulin protocol experience required
- Must pass pre-start EKG testing
- Flu vaccination required (medical/religious exemptions considered)
- Availability for full hospital orientation week with daily classes
Why It's a Great Opportunity:
This progressive care unit offers the perfect blend of critical thinking and advanced nursing skills in a fast-paced stepdown environment that truly functions like an ICU. You'll care for a diverse patient population with complex needs while utilizing cutting-edge monitoring technology and working alongside a supportive interdisciplinary team. If you're looking to sharpen your critical care skills while maintaining manageable ratios and a structured every-other-weekend schedule, this is an excellent opportunity to make a meaningful impact on patient outcomes.