PCU Registered Nurse
Winston-Salem, NC
Host Healthcare
3x12 hrs, Nights
Referral Bonus

Job Opportunity: Registered Nurse - PCU

Location: Winston Salem, North Carolina
Employment Type: Travel/Contract
Contract Length: 13 weeks
Shift: Night (3 shifts of 12 hours each, 18:45 - 7:15)
Hours per Week: 36

Unit & Patient Population Details

• Mixed acuity unit with PCU and Med-Surg/Telemetry patients
• Target nurse-to-patient ratio: 1:4-5; may go to 1:6 in extreme situations
• 48-bed unit with a CNA ratio of 9-10:1
• Patient population includes COPD exacerbations, pneumonia, acute respiratory failure, chest tubes, CPAP/BiPAP, and telemetry monitoring
• Ventilator patients are chronic trach/vent; nurses care for no more than one vent patient at a time
• COVID-19 patients currently included in the patient population
• Unit resources: Admission/Discharge nurse, Assistant Nurse Manager, Vascular Access Team, Respiratory Therapists, Rapid Response Team, Code Team, Behavioral Health Team

Required Qualifications

• Valid RN license in North Carolina
• Minimum 2 years of experience in PCU - Progressive Care Unit, with PCU experience within the last year
• Associate of Science in Nursing / Associate Degree in Nursing
• ACLS certification issued by American Heart Association or American Red Cross
• BLS certification issued by American Heart Association or American Red Cross
• Experience with ventilator care
• Experience managing CPAP/BiPAP
• Skilled in interpretation and management of dysrhythmias

Preferred Qualifications

• NIH Stroke Scale (NIHSS) certification

Scheduling & Work Requirements

• 12-hour night shifts
• 36 hours per week (typically 3 shifts)
• Float to like units required
• Weekend shifts: minimum 4 weekends in 6 weeks, may require more based on staffing needs
• Block scheduling accommodation possible based on unit needs
• Orientation: 24 hours

Special Procedures & Equipment

• Care for patients with chest tubes
• Medication drips including dopamine, Cardizem, and heparin
• Use of vents, trachs, CPAPs, and BiPAPs
• Unit systems: Pyxis, EPIC, SBAR

Health & Compliance Requirements

• Physical exam within 1 year of start (or within 30 days if past positive TB)
• Fit testing required (N95 or PAPR training accepted; PAPR not accepted at Ashe Memorial)
• Negative TB test or chest x-ray per protocol
• Required immunizations or titers with no declinations accepted for:

  • Measles (Rubeola)
  • Mumps
  • Rubella
  • Varicella
  • Hepatitis B (facility-specific declination form required if titer negative/equivocal)
• Seasonal flu vaccine or approved medical/religious exemption required during flu season (9/1 - 10/31)
• Negative 10-panel drug screen within 30 days of start
• Background checks including local, federal, national criminal, sex offender, education verification, and state-specific registry searches within 90 days of start

Orientation & Onboarding

• Must complete Non-Novant Health Worker Orientation (8-10 hours for acute care)
• Must complete annual compliance and medication safety training
• Must complete facility-specific confidentiality agreement and hospital policies acknowledgment
• Photo for badge required (passport style, white background, business attire)
• Corp ID process: candidates must set up Novant Health account and log into I-Learn within 24 hours of receiving email instructions

Additional Notes

• No Return to Office (RTO) after booking allowed onsite; excessive call-offs or RTO may result in cancellation
• Unit acuity is high; team lead and assistant nurse manager present on all shifts including weekends
• References: 2 professional references within 3 years required for travel and acute care candidates
• Performance evaluation required if worked with Aya Healthcare over 1 year (updated annually)

This position offers a challenging and rewarding opportunity for experienced RNs comfortable with higher acuity med-surg and telemetry patients, including ventilator and COVID-19 care, in a supportive team environment.