ICU/Stepdown Telemetry RN
Winston Salem, NC
Revolution Healthcare Services
3x12 hrs, Nights
Referral Bonus

Start Date: April 6, 2026
Location: Winston-Salem, North Carolina
Compensation: Details provided to qualified applicants
Schedule: 12-hour night shifts, 36 or 48 hours per week, every other weekend required

Highlights:

• ICU stepdown unit with 1:3-4 nurse-to-patient ratios and 20-bed capacity
• Operates similarly to an ICU environment with advanced drip management and arterial line experience
• Epic charting system with Pyxis medication management
• 13-week contract assignments available for experienced travelers and first-time travelers
• Comprehensive interdisciplinary support including IV teams, respiratory services, rapid response teams, and pharmacy
• Patient population includes post-surgical, respiratory distress, GI bleeds, and hemodynamically unstable patients across adolescent, adult, and geriatric age groups

Requirements:

• Active RN license (North Carolina or Compact state)
• Minimum 2 years of progressive care or stepdown nursing experience
• Current ACLS, BLS, and NIHSS certifications required
• Strong experience with arterial lines and titrating vasoactive drips (Levophed, Dopamine, Dobutamine, Cardizem, Nitro, Precedex, Cardene)
• Proficiency in telemetry monitoring, dysrhythmia interpretation and management
• Experience with chest tubes, BiPAP/CPAP, high-flow nasal cannula, tracheostomy management, and blood product administration
• Competency in IV starts, conscious sedation, central line care, PICC line management, and heparin protocols
• Epic charting experience strongly preferred
• Must pass EKG testing prior to start date
• Flexibility to float to sister ICCU unit as needed based on census

Why It's a Great Opportunity:

This progressive care unit offers an engaging, fast-paced environment where you'll utilize advanced critical care skills while caring for a diverse patient population. With strong interdisciplinary support, modern equipment including bedside telemetry monitoring, and opportunities to manage complex drips and specialized equipment, you'll expand your clinical expertise in a supportive team setting. This role is ideal for nurses who thrive in high-acuity stepdown environments and want to make a meaningful impact on patient recovery and outcomes.