ICU RN
Winston-Salem, NC
Travel Nurses, Inc.
3x12 hrs

Registered Nurse ICU

Location: Winston Salem, North Carolina Contract Length: 13 weeks Shift: Day (3x12 hours), 6:45 AM to 7:15 PM Hours: 12 hours per day, 36 hours per week (36 or 48 hours can be offered) Employment Type: Travel/Contract Local Candidates: Accepted First-Time Travelers: Accepted

Unit Details

• Unit type: ICU stepdown, operating as a higher-acuity intermediate care unit with patient needs that may exceed a traditional PCU setting
• Census: ADC 18 with 20 beds
• Target ratio: 1:3-4
• Patient ages: Adolescent, adult, and geriatric
• Patient diagnoses: Post rapid response team patients, respiratory distress, unstable hemodynamics, withdrawal, GI bleeds, post-op (GYN, GU, GI, thoracotomies, neuro, ortho), and pre/post OB with complications (Pitocin)
• Drips given on unit: Cardizem, Nitro, Precedex, Cardene, Levophed, Dopamine, Dobutamine, and Neo
• Pressors: Only one pressor drip per patient; any more and the patient is transferred to ICU
• Equipment: Bedside telemetry monitors with remote backup; A-lines, BiPAPs, chest tubes, and trach patients. There are no ventilators on the unit.
• Unit systems: Pyxis and Epic
• Scrubs: Navy, white, or a combination of the two

Schedule

• No block scheduling
• Every other weekend
• Floating is required as needed to a sister unit, which is also an ICCU.
• RTO after booking is not allowed and may not be worked out onsite. Call-offs or additional RTO on the unit could lead to cancellation.
• Auto offer RTO: 7 days maximum

Required Qualifications

• Valid Registered Nurse (RN) license in North Carolina
• Associate of Science in Nursing (ASN) / Associate Degree in Nursing
• Minimum of 2 years of ICU experience, with ICU experience within the last year
• Experience with arterial lines
• Experience administering and titrating Levophed and Neo
• Experience with conscious or moderate sedation
• IV insertion and IV start skills
• Central line management, PICC line management, and peripheral line care
• Heparin protocols
• IV insulin protocols
• Chest tube management (Emerson/Pleur-evac)
• External CPAP/BiPAP
• ACLS issued by American Heart Association (AHA) or American Red Cross (AHA-RQI and AHA instructor cards are acceptable)
• BLS issued by American Heart Association (AHA) or American Red Cross
• NIHSS (NIH Stroke Scale) certification, completed annually through an approved vendor

Onboarding and Compliance

• Hospital orientation: Week one, with daily classes; the traveler must be available each day.
• Background check: Within 90 days of start, covering all locations lived in the last 7 years. Education verification is required for the highest degree specific to the candidate's profession.
• Exclusion checks: EPLS/GSA/SAM, HHS/OIG, North Carolina Division of Medical Assistance, and North Carolina Health Care Personnel Registry searches are required.
• Drug screen: 10-panel negative drug screen within 30 days of start
• Physical: Within 1 year of start. If there is a past positive TB, a physical within 30 days is required.
• TB: PPD, Qgold, or Tspot within 1 year of start. A positive result requires a Qgold/Tspot, a clear chest X-ray within 5 years, a physician-signed physical within 30 days, and a TB questionnaire signed within 30 days, updated annually.
• Immunity: Rubeola (measles), mumps, rubella, varicella, and hepatitis B titers or vaccines. Negative or equivocal titers require 2 boosters 28 days apart, or proof of 2 prior vaccines. Declinations are not accepted for measles, mumps, rubella, or varicella.
• Flu vaccine: Required for the 2026-27 season. Intranasal vaccines are acceptable. Exemptions are reviewed case by case.
• Fit testing: Required. Any N95 within 1 year of start is acceptable, or completion of PAPR training.
• References: 2 professional references within 3 years of start
• Employment application: Must be uploaded.
• Facility documents: Confidentiality agreement, education roster, tobacco-free campus acknowledgement, hospital policies acknowledgement, medication safety certificate, annual compliance training, and a South Carolina orientation is not required for this North Carolina assignment.