ICU/Stepdown Telemetry RN
Winston-Salem, NC
American Traveler
3x12 hrs, Nights

Assignment Overview

• Shift: Nights, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: Mar 30, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is hiring an experienced RN for an ICU Stepdown position requiring strong vasoactive drip and arterial line experience, with night shift availability and every-other-weekend commitment.

Details

• ICU Stepdown unit within a hospital setting, functioning more like an ICU in acuity
• Patient population includes post-rapid response, respiratory distress, unstable hemodynamics, withdrawal, GI bleeds, pre/post-op GYN/GU/GI/thoracotomy/neuro/ortho surgeries, and pre/post OB with complications (Pitocin); patient ages range from adolescent to geriatric
• Unit capacity of 20 beds (ADC: 18); nurse-to-patient ratio of 1:3-4
• Vasoactive drips used on unit include Cardizem, Nitro, Precedex, Cardene, Levophed, Dopamine, Dobutamine, and Neo; unit policy limits patients to one pressor drip (additional pressors require ICU transfer)
• Specialized equipment includes bedside telemetry monitors with remote backup, A-lines, BiPAP, chest tubes, and trachs; no ventilators on unit
• EMR: Epic; medication dispensing via Pyxis
• Night shifts (6:45 PM – 7:15 AM), 3x12-hour shifts per week; 36 or 48 hours per week available
• Every other weekend required
• Floating required as needed to a sister ICCU unit
• Schedule is created by the nurse manager; block scheduling is not available

Requirements

• Active NC or compact RN license required
• Current certifications required: BLS, ACLS, and NIH Stroke Scale (NIHSS)
• Minimum 2 years of RN experience required
• Strong vasoactive drip titration and arterial line experience required
• Required skills include: telemetry interpretation and dysrhythmia management, IV insulin protocols, blood product administration, central/peripheral/PICC line care, heparin protocols, chest tube management (Emerson/Pleur-evac), BiPAP/CPAP, High Flow Nasal Cannula (HFNC), tracheostomy management, isolation precautions, and use of rapid response teams
• Experience with IV starts and conscious sedation required
• Must be able to recognize and treat dysrhythmias
• Must pass EKG testing prior to start

Additional Information

• First-time travelers are welcome to apply
• Local candidates are accepted
• Hospital orientation is held during week one; attendance is required each day
• Scrub colors: navy, white, or a combination of both
• RTO requests after booking are not permitted; call-offs or additional RTO may result in contract cancellation