PCU RN
Winston Salem, NC
Revolution Healthcare Services
3x12 hrs, Nights
Referral Bonus

Start Date: September 8, 2026

Location: North Carolina

Compensation: Details provided to qualified applicants

Schedule: 12-hour night shifts, 36 or 48 hours per week available. Patient ratio 1:3-4. Every other weekend required. Float to sister ICCU unit as needed. Contract length 13 weeks or longer (through February 27).

Highlights:

• ICU stepdown environment with 20-bed unit and average daily census of 18 patients
• Critical care focus requiring strong drip titration skills including vasoactive medications (Levophed, Dopamine, Dobutamine, Cardizem, Cardene, Precedex, Nitroglycerin)
• Diverse patient population including post-rapid response, respiratory distress, unstable hemodynamics, GI bleeds, and post-operative patients from multiple service lines
• Epic charting system with Pyxis medication management
• Comprehensive interdisciplinary support including IV teams, respiratory services, rapid response teams, pharmacy, and physical therapy
• Advanced monitoring capabilities with bedside telemetry and remote backup systems

Requirements:

• Minimum 2 years of progressive care or stepdown nursing experience required
• Current North Carolina or Compact State RN license
• ACLS, BLS, and NIH Stroke Scale (NIHSS) certifications required
• Demonstrated competency in arterial line management and titration of vasoactive drips (required)
• Strong telemetry experience with interpretation and management of dysrhythmias
• Proficiency in central line care, PICC management, blood product administration, and heparin protocols
• Experience with chest tubes (Emerson/Pleur-evac), BiPAP/CPAP, high-flow nasal cannula, and tracheostomy management
• IV start competency and conscious sedation experience required
• Must successfully pass EKG testing prior to assignment start date
• First-time travelers accepted

Why It's a Great Opportunity:

This ICU stepdown unit offers registered nurses the opportunity to utilize advanced critical care skills in a fast-paced, high-acuity environment. You'll care for a diverse patient population across multiple specialties while working with vasoactive drips, arterial lines, and complex monitoring equipment. With comprehensive interdisciplinary support and a collegial team atmosphere, you'll provide life-saving interventions to patients requiring close observation and expert nursing judgment.

Additional Information:

• One week of orientation with required daily attendance for hospital classes
• Up to 7 days of pre-approved time off available (no holidays during first week)
• Flu vaccination required (medical/religious exemptions only)
• Scrub colors: Navy, white, or combination of both
• Pre-start online modules required (approximately 8-10 hours, non-billable)