PCU RN
Winston-Salem, NC
American Traveler
3x12 hrs, Days

Assignment Overview

• Shift: Days, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: Oct 26, 2026
• Length: 16 weeks
• Openings: 1

Description

American Traveler is hiring an RN for a Progressive Care Unit role requiring 2+ years of PCU/stepdown experience and vasoactive drip titration skills.

Details

• PCU unit functioning similarly to an ICU step-down with 20 beds and an ADC of 18
• Target patient ratio of 1:3-4
• Day shift schedule, 3x12 hours from 6:45 to 19:15
• Weekend requirement of every other weekend
• Floating required as needed to sister ICCU unit
• Patient population spans adolescent, adult, and geriatric with diagnoses including post rapid response, respiratory distress, unstable hemodynamics, withdrawal, GI bleeds, and various post-op surgical cases
• Pre/post OB patients with complications such as Pitocin administration
• Single vasoactive drip per patient on the unit (Cardizem, Nitro, Precedex, Cardene, Levophed, Dopamine, Dobutamine, Neo)
• Bedside telemetry monitors with remote backup used for dysrhythmia recognition and treatment
• Unit equipped with A-lines, BIPAP, chest tubes, and tracheostomy care, but no ventilators
• Uses Pyxis and Epic systems
• No block scheduling; schedule created by nurse manager

Requirements

• Active RN license (NC or Compact) required
• BLS, ACLS, and NIH Stroke Scale certifications required
• Minimum 2 years of relevant RN experience required
• Experience with arterial lines and titrating vasoactive drips required
• Experience with conscious sedation, telemetry monitoring, and dysrhythmia interpretation/management required
• Experience with IV insulin protocols, blood product administration, and heparin protocols required
• Experience with central line, peripheral line, and PICC line care/management required
• Experience with chest tube management (Emerson/Pleur-evac) required
• Experience with external CPAP/BIPAP, high flow nasal cannula, nasal cannula, and non-invasive airway management required
• Tracheostomy management and isolation precautions experience required
• Must pass EKG testing prior to start
• Previous PERM/PRN/EP employment with Novant Health or New Hanover requires a 12-month wait before applying as a traveler

Additional Information

• Responsible for monitoring, recognizing, and treating cardiac dysrhythmias using bedside telemetry with remote backup
• Participates in rapid response team activations as needed
• Navy, white, or a combination of both scrub colors required
• Hospital orientation occurs during the first week, with required attendance for all classes
• RTO of 7 days or less can be auto-approved, provided it doesn't fall on a holiday; no RTO allowed during first week due to orientation
• Must work 2 of 3 major holidays
• First-time travelers are welcome to apply
• Local candidates accepted at a reduced rate within 50 miles of the facility
• Travel pairs are allowed, provided each has own transportation and is comfortable with differing schedules
• Minimum 13-week contract length, with openness to longer assignments