ICU RN
Winston Salem, NC
Revolution Healthcare Services
4x12 hrs, Days
Referral Bonus

Start Date: December 7, 2026
Location: North Carolina
Compensation: Details provided to qualified applicants
Schedule: 48 hours per week, 12-hour shifts, every other weekend required, no block scheduling permitted

Highlights:

• High-acuity Intermediate Care unit functioning as an ICU stepdown with 18-20 bed capacity
• Patient ratios of 1:3-4 with diverse case mix including post-surgical, respiratory distress, GI bleeds, and hemodynamically unstable patients
• Experience titrating vasoactive drips including Levophed, Neo, Cardizem, Precedex, Cardene, Dopamine, and Dobutamine
• Epic charting system with Pyxis medication management
• Float to sister ICCU unit as needed; comprehensive interdisciplinary support including IV teams, respiratory services, and rapid response teams
• Work with specialized equipment including arterial lines, BIPAP, chest tubes, and tracheostomies

Requirements:

• Current RN license (North Carolina or Compact state license accepted)
• Minimum 2 years of recent ICU or high-acuity PCU/Stepdown experience required
• ACLS, BLS, and NIH Stroke Scale certifications required
• Demonstrated competency with arterial line management and titrating vasoactive drips (Levophed and Neo required)
• Strong telemetry skills with ability to interpret and manage dysrhythmias independently
• Experience with conscious sedation, blood product administration, central line management, and heparin protocols
• Proficiency in respiratory support including BIPAP, CPAP, high-flow nasal cannula, and tracheostomy management
• IV insertion and peripheral line management skills
• Must pass EKG competency testing prior to start date
• Epic charting experience preferred
• Community hospital ICU experience preferred
• First-time travelers accepted
• Flu vaccination required (medical/religious exemptions only)

Patient Population & Case Mix:

• Adolescent, adult, and geriatric patient populations
• Post rapid response team patients requiring higher-level monitoring
• Respiratory distress, unstable hemodynamics, and withdrawal management
• GI bleeds and post-operative care following GYN, GU, GI, thoracotomy, neuro, and orthopedic surgeries
• Pre/post obstetric patients with complications including Pitocin management
• CVA and traumatic injuries requiring intermediate-level care
• Single vasoactive drip per patient (patients requiring multiple pressors transfer to ICU)

Why It's a Great Opportunity:

This position offers experienced critical care nurses the opportunity to work in a dynamic, high-acuity intermediate care environment where your advanced skills in hemodynamic monitoring and vasoactive drip management will be highly valued. You'll care for a diverse patient population in a supportive team environment with comprehensive interdisciplinary resources, allowing you to make a meaningful impact on patient outcomes during critical recovery phases. The unit provides the clinical challenge of ICU-level acuity with the reward of seeing patients progress toward recovery.

Additional Information:

• 24-hour orientation provided with first-week hospital orientation and unit-specific training
• Pre-start online modules required (8-10 hours for acute care, non-billable)
• Must use Google Chrome or Microsoft Edge browser for module completion
• Scrub color: Navy, white, or combination of both
• Bedside telemetry monitoring with remote backup system
• Up to 7 days of requested time off may be approved (no holidays; must work 2 of 3 major holidays)
• Nurse manager creates schedule; block scheduling not permitted
• No additional time off requests permitted after contract signing
• Local candidates accepted (rate differential applies for those within 50 miles)