PCU Telemetry RN
Winston-Salem, NC
PRIDE Health
3x12 hrs, Nights
Referral Bonus

Registered Nurse Travel/Contract Job - Winston Salem, North Carolina

Job Overview

• Specialty: Registered Nurse
• Location: Winston Salem, North Carolina
• Employment Type: Travel/Contract
• Contract Length: 13 weeks
• Unit Type: ICU Stepdown / PCU / DO/IMC / Telemetry
• Shift: 12-hour nights
• Patient Ratio: 3:1 or 4:1
• Weekend Requirement: Every other weekend
• Float Requirement: Floating to sister ICCU unit as needed
• Scheduling: No block scheduling allowed; schedule created by Nurse Manager
• Orientation: Hospital orientation required during week one; attendance mandatory for all classes
• EKG Testing: Must pass EKG testing prior to start

Required Experience & Skills

• Years of Experience: Minimum 2 years in specialty

• Traveler Experience: Accepts first-time travelers (prior travel experience NOT required)

• Clinical Skills Required:

  • Experience with arterial lines and titrating vasoactive drips
  • PCU/DOU/IMC/Stepdown nursing
  • Telemetry monitoring and interpretation of dysrhythmias
  • Management of dysrhythmias
  • Use of Rapid Response Teams
  • IV insulin protocols
  • Blood product administration
  • Central line, peripheral line, and PICC line care/management
  • Heparin protocols
  • Care for patients with CVA, chest tubes (Emerson/Pleur-evac), external CPAP/BIPAP, high flow nasal cannula (HFNC), nasal cannula
  • Non-invasive airway management and tracheostomy management
  • Isolation precautions
  • IV starts and conscious sedation experience

• Drip Experience: Strong drip experience required; only one pressor drip per patient allowed on unit (more than one requires transfer to ICU)

• Common Drips Used: Cardizem, Nitro, Precedex, Cardene, Levophed, Dopamine, Dobutamine, Neo drips

Patient Population & Diagnoses

• Average Daily Census: 18 patients, 20 beds
• Patient Types: ICU stepdown, post rapid response, respiratory distress, unstable hemodynamics, withdrawal, GI bleeds, post-op (GYN, GU, GI, thoracotomies, neuro, ortho surgeries), pre/post OB with complications (Pitocin)
• Patient Age Range: Adolescent, adult, geriatric

Equipment & Systems

• Bedside telemetry monitors with remote backup
• Use of Pyxis medication system and Epic electronic health record
• No ventilators on unit

Certifications Required

• ACLS (Advanced Cardiac Life Support)
• BCLS (Basic Cardiac Life Support)
• NIH Stroke Certification
• Additional certifications as applicable:

  • PALS (Pediatric Advanced Life Support)
  • NRP (Neonatal Resuscitation Program)
  • CHEMO (Chemotherapy)
  • TNCC (Trauma Nursing Core Course)
  • EFM (Electronic Fetal Monitoring)
  • CPI (Crisis Prevention Institute) if applicable
• Must pass Dysrhythmia/EKG Competency Exam with a score of 82% or higher within 72 hours of assignment start

Compliance & Background Requirements

• Criminal background checks within 90 days for all locations lived in last 7 years
• Education verification for highest degree earned (RNs may start with pending verification if license is valid)
• Drug screening within 30 days of start (10-panel, negative result required)
• Physical exam within 1 year of start (updated annually if past positive TB)
• Fit mask testing (N95 or PAPR training) required
• Negative TB test or chest x-ray within required timeframes
• Required immunizations or titers: Rubeola (Measles), Mumps, Rubella, Varicella, Hepatitis B (or facility-specific declination)
• Seasonal flu vaccination or approved exemption required during flu season (9/1 - 10/31)
• State-specific registry and exclusion list checks within 90 days prior to start (North Carolina Healthcare Personnel Registry and Division of Medical Assistance)

Additional Notes

• No call-offs or additional RTO (Return to Office) allowed after booking; excessive RTO may lead to cancellation
• Scrubs: Navy, white, or combination
• Must complete Non-Novant Health Worker Orientation modules prior to start (approx. 8 hours)
• Must complete medication safety training and submit certificate of completion
• Must complete hospital policies and confidentiality agreements
• References: 2 professional references within 3 years required for travel acute care RNs
• Performance evaluations required if worked with Aya Healthcare over 1 year

This position is ideal for RNs with strong ICU stepdown and telemetry experience who are comfortable managing complex patients requiring vasoactive drips and advanced monitoring. First-time travel nurses are welcome to apply.