PCU RN
Winston-Salem, NC
American Traveler
4x12 hrs, Nights

Assignment Overview

• Shift: Nights, 4x12hrs
• Hours: 48 hrs/wk
• Start Date: Oct 19, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is hiring a Progressive Care Unit RN with strong vasoactive drip titration experience for a night shift role requiring NC or compact RN licensure.

Details

• PCU/ICU stepdown unit functioning more like an ICU, with strong drip management experience required
• 20-bed unit with an average daily census of 18 and target ratios of 1:3-4
• Patient population includes post rapid response team patients, respiratory distress, unstable hemodynamics, withdrawal, GI bleeds, and post-op GYN, GU, GI, thoracotomy, neuro, and ortho surgeries
• Pre/post OB patients with complications such as Pitocin administration also cared for on unit
• Patients range from adolescent to geriatric age groups
• Manages single pressor drips (Cardizem, Nitro, Precedex, Cardene, Levophed, Dopamine, Dobutamine, Neo); patients requiring more than one are transferred to ICU
• Uses bedside telemetry monitors with remote backup, arterial lines, BIPAP, chest tubes, and tracheostomy care; no ventilators on unit
• Charts in Epic and uses Pyxis for medication management
• 12-hour night shifts (18:45-7:15) on a 4x12 schedule
• Every other weekend requirement
• Floating required as needed to a sister ICCU unit
• No block scheduling available; schedule created by nurse manager

Requirements

• Active RN license (NC or Compact)
• Current ACLS, BLS, and NIHSS certifications
• Minimum 2 years of relevant RN experience required
• Required experience with arterial lines and titrating vasoactive and cardiac drips
• Experience with PCU/DOU/IMC/Stepdown and telemetry units required
• Must be able to interpret and manage dysrhythmias
• Experience with IV insulin protocols, heparin protocols, blood product administration, and central/peripheral/PICC line care/management required
• Experience managing chest tubes (Emerson/Pleur-evac), external CPAP/BIPAP, high flow nasal cannula, nasal cannula, and non-invasive airway management required
• Tracheostomy management experience required
• Experience with isolation precautions and use of rapid response teams required
• IV start, telemetry monitoring, and conscious sedation experience required
• Epic charting experience preferred
• Must pass EKG testing prior to start for this specialty

Additional Information

• Provide stepdown-level nursing care including dysrhythmia recognition and management, drip titration, and rapid response support
• Navy, white, or combination navy/white scrubs required
• Hospital orientation held during the first week; must be available for classes each day
• First-time travelers are welcome to apply
• Travel pairs are allowed if assigned to different units and disclosed at time of submission
• Former PERM/PRN/EP employees of Novant Health or New Hanover must wait 12 months before reapplying as a traveler, with facility approval required
• Local candidates within 50 miles accepted at a lower rate
• Up to 7 days of RTO may be auto-approved if not falling on a holiday; no RTO permitted during the first week of assignment
• Must work 2 of 3 major holidays
• Current travel per diem clinicians must choose between per diem or travel contract status