ICU Stepdown Registered Nurse
Winston-Salem, NC
American Traveler
3x12 hrs, Nights

Assignment Overview

• Shift: Nights, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: May 18, 2026
• Length: 13 weeks
• Openings: 1

Description

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

Details

• Hospital ICU Stepdown unit environment with 20 beds (ADC: 18)
• Patient population includes post rapid response team patients, respiratory distress, unstable hemodynamics, withdrawal, GI bleeds, post-op surgical patients (GYN, GU, GI, thoracotomies, neuro, ortho), pre/post OB with complications, and patients ranging from adolescent to geriatric
• Patient ratios of 3:1 or 4:1
• Unit operates similarly to a full ICU but is limited to one vasoactive pressor drip per patient; patients requiring more are transferred to ICU
• Vasoactive drips administered on unit include Cardizem, Nitro, Precedex, Cardene, Levophed, Dopamine, Dobutamine, and Neo
• Specialized equipment includes bedside telemetry monitors with remote backup, A-lines, BiPAP, chest tubes, and trachs — no ventilators on unit
• EMR: Epic; Medication dispensing: Pyxis
• Night shift: 18:45–07:15 (3x12-hour shifts)
• 36 or 48 hours per week available
• Every other weekend required
• Floating required as needed to a sister ICCU unit
• No block scheduling
• 13-week contract length with the possibility of extension

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 experience with arterial lines and titrating vasoactive drips is required
• Required skills include: PCU/DOU/IMC/Stepdown experience, telemetry monitoring and interpretation, dysrhythmia recognition and management, rapid response team protocols, IV insulin protocols, blood product administration, central line care/management, peripheral line care/management, PICC line management, heparin protocols, CVA management, chest tube management (Emerson/Pleur-evac), external CPAP/BiPAP, high flow nasal cannula (HFNC), non-invasive airway management, tracheostomy management, and isolation precautions
• IV start experience required
• Conscious sedation experience required
• Must pass EKG testing prior to start
• 2 professional references from a supervisor within the past 2 years required for consideration

Additional Information

• Unit runs similarly to a full ICU with a high acuity stepdown patient population
• Hospital orientation occurs during week one and requires attendance each day
• Scrub colors: navy, white, or a combination of the two
• RTO is not permitted after booking and cannot be arranged onsite — call-offs or additional RTO may result in contract cancellation
• Local candidates are accepted
• First-time travelers are welcome to apply