Registered Nurse IMC/PCU/Stepdown

Job Title

Registered Nurse – IMC/PCU/Stepdown

Location

Winston-Salem, NC | Stepdown/IMC

Schedule / Job Type

Contract | Days | 12-Hour Shifts | 4 shifts per week | Shift hours 6:45 AM – 7:15 PM | Every other weekend required | 13-week assignment or longer

Key Responsibilities

• Provide direct patient care in a high-acuity IMC/PCU/Stepdown setting serving adolescent, adult, and geriatric populations with diagnoses including respiratory distress, unstable hemodynamics, GI bleeds, withdrawal, and post-operative patients (GYN, GU, GI, thoracotomy, neuro, ortho, and pre/post OB with complications)
• Manage and titrate vasoactive drips including Cardizem, Nitro, Precedex, Cardene, Levophed, Dopamine, Dobutamine, and Neo; only one pressor drip per patient is permitted on this unit
• Monitor and interpret telemetry and dysrhythmias using bedside monitors with remote backup; recognize and treat dysrhythmias independently
• Manage arterial lines, central lines, PICC lines, peripheral lines, chest tubes (Emerson/Pleur-evac), tracheostomies, BiPAP/CPAP, and high-flow nasal cannula (HFNC)
• Administer blood products, IV insulin protocols, and heparin protocols; perform conscious sedation as required
• Float as needed to a sister ICCU unit; utilize Pyxis and Epic systems for medication management and charting

Required Qualifications

• Active NC RN license or valid Compact RN license (pending licensure acceptable at time of submission)
• Minimum 2 years of RN experience; PCU/DOU/IMC/Stepdown experience required
• ACLS certification required
• BLS/BCLS certification required
• NIH Stroke Scale (NIHSS) certification required
• Must pass EKG testing prior to start
• Demonstrated experience with arterial lines, titrating vasoactive drips, conscious sedation, telemetry interpretation and management, IV starts, central/PICC line management, chest tubes, tracheostomy management, BiPAP/CPAP, HFNC, and isolation precautions
• Local candidates are welcome; candidates residing within 50 miles of the facility should be aware that a lower rate applies

Preferred Experience / Skills

• Experience in a high-acuity environment that runs similarly to an ICU setting
• Familiarity with Pyxis and Epic electronic health record systems
• Experience with post-rapid-response patients and unstable hemodynamic management
• First-time travelers are accepted

Why Join Us

• Work in a dynamic, high-acuity stepdown environment with a manageable patient ratio of 1:3–4, offering strong clinical growth opportunities
• Expected weekly hours of 36 or 48 available, providing scheduling flexibility within a structured contract assignment