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

Start Date: December 2026

Location: North Carolina

Compensation: Details provided to qualified applicants

Schedule: 48 hours per week, 13-week contract, every other weekend required, no call, no block scheduling permitted

Highlights:

• Higher-acuity Intermediate Care unit (ICU Stepdown) in a community hospital setting with 1:3-4 patient ratios
• Care for post-rapid response patients, respiratory distress, unstable hemodynamics, GI bleeds, post-operative patients, and pre/post OB with complications
• Experience with vasopressor drips required – must be able to titrate Levophed, Neo, Cardizem, Nitro, Precedex, Cardene, Dopamine, and Dobutamine
• Epic charting system and Pyxis medication management
• Floating to sister ICCU unit as needed; orientation provided during first week
• Access to interdisciplinary support including IV teams, respiratory services, rapid response teams, physical therapy, pharmacy, and more

Requirements:

• Minimum 2 years of RN experience; first-time travelers accepted
• ICU experience required – this unit operates at higher acuity than traditional PCU settings
• Current ACLS, BLS, and NIHSS certifications required
• Must pass EKG testing prior to start date
• North Carolina or Compact state RN license (pending acceptable for submission)
• Demonstrated experience with arterial lines, vasoactive drip titration, conscious sedation, telemetry interpretation and dysrhythmia management
• Proficiency with central line care, PICC management, blood product administration, IV insulin and heparin protocols
• Experience managing chest tubes, BiPAP/CPAP, high flow nasal cannula, tracheostomy care, and non-invasive airway management
• Competency in IV starts and management of isolation precautions
• Flu vaccination required (medical/religious exemptions only)

Why It's a Great Opportunity:

This position offers experienced ICU and critical care nurses the chance to work in a dynamic, high-acuity stepdown environment where clinical skills are continuously utilized and valued. You'll care for a diverse patient population ranging from adolescents to geriatrics while managing complex post-operative cases, critical drips, and advanced monitoring equipment. With strong interdisciplinary support and a well-resourced 20-bed unit, you'll provide impactful care in a collaborative community hospital setting that bridges the gap between ICU and traditional stepdown care.