Registered Nurse IMC/PCU/Stepdown

Job Title

Registered Nurse – IMC / PCU / Stepdown (Intermediate Care)

Location

Charlotte, NC

Schedule / Job Type

Contract | Night Shift (12-Hour Nights, 18:45–07:15) | 36 or 48 Hours Per Week | Onsite

Key Responsibilities

• Provide continuous cardiac telemetry monitoring, assessment, and nursing intervention in a fast-paced 24-bed Intermediate Intensive Care unit with a 4:1 nurse-to-patient ratio
• Care for adult and geriatric patients with medical/surgical, cardiac, renal, bariatric, pulmonary, and trauma-related diagnoses including heart failure, acute coronary syndrome, and post-procedural conditions
• Manage vasoactive IV medications, insulin drips, arterial/venous sheaths, pericardial drains, chest tubes, and non-invasive airway therapies including BiPAP, CPAP, and high-flow nasal cannula
• Perform pre- and post-procedural care for cardiac interventions such as PTCA, stenting, pacemaker implantation, TAVR, cardioversion, and electrophysiology procedures
• Monitor and respond to dysrhythmias, conduct continuous EKG monitoring, and support emergency cardiac and respiratory arrest response per Code Blue policy
• Float as needed to the Cardiac Telemetry unit, where patient ratios may reach 1:6 in a Med/Surg assignment; work every other weekend as required

Required Qualifications

• Active RN license in North Carolina or a Compact state
• Minimum 2 years of RN experience required; first-time travelers will not be accepted
• Current ACLS, BLS, and NIH certifications required
• Proficiency in telemetry, IV starts, interpretation and management of dysrhythmias, peripheral line care, and non-invasive airway management
• Post cardiac catheterization and post cardiac/vascular surgical experience required
• Must pass EKG testing prior to start

Preferred Experience / Skills

• Charge nurse experience
• Wound care and wound vac experience
• NIHSS certification

Why Join Us

• Work in a specialized, high-acuity cardiac intermediate care environment with a focused patient population and collaborative multidisciplinary team
• Self-scheduling model based on unit needs with 36-hour unit orientation to support a smooth transition onto the floor