PCU Registered Nurse
Winston Salem, NC
Access Healthcare
3x12 hrs, Nights

Registered Nurse - PCU

Location: Winston-Salem, North Carolina Employment Type: Travel/Contract Contract Length: 13 weeks (unit accepts 13-26 weeks) Shift: Night, 3x12-hour shifts, 18:45-07:15 (36 hours per week can be offered) Scheduling: Block scheduling can be accommodated when unit needs allow. Unit Orientation: 24 hours Scrubs: Not provided. White or navy blue.

Required Qualifications

• Valid RN license in North Carolina
• Minimum 2 years of experience in a PCU (Progressive Care Unit)
• PCU (Progressive Care Unit) experience within the last year
• One completed travel assignment
• ACLS (Advanced Cardiac Life Support) issued by the American Heart Association or American Red Cross
• BLS (Basic Life Support) issued by the American Heart Association or American Red Cross
• Associate of Science in Nursing (ASN) / Associate Degree in Nursing
• IV insertion skills
• Experience with mechanical ventilation
• Experience with CPAP
• Experience with BiPAP
• Telemetry experience
• Interpretation and management of dysrhythmias

Unit Details

• Mixed-acuity unit with PCU and MS/Tele patients. The acuity is on the higher end of a med-surg unit.
• Target ratio: 1:4-5. In extreme situations, the ratio may go to 1:6.
• CNA ratio: 9-10:1
• Unit size: 48 beds
• Team lead present in a 3:1 role who rounds the whole unit
• Two respiratory therapists rounding
• Assistant nurse manager on shift, including weekends
• Ventilators are used only for chronic trach/vent patients. No nurse carries more than one vent patient at a time.
• Unit resources: admission/discharge nurse, assistant nurse manager, vascular access team, RRT, code team, behavioral health team
• Required to float to like units.
• Every other weekend is required.
• Returns to unit (RTO) after booking are not allowed, and are not allowed to be worked onsite. RTO is limited to 7 days maximum for auto offer. Call-offs or additional RTO on the unit could result in cancellation and DNR.

Patient Population

• COPD, pneumonia, respiratory distress, COVID-19 (including patients who have tested positive), flu, PEs
• Acute respiratory failure, chest tubes, CPAP/BiPAP, and telemetry monitoring are common.

Equipment and Systems

• Equipment: Chest tubes, dopamine, Cardizem, heparin drips, ventilators, trachs, BiPAPs/CPAPs
• Unit systems: Pyxis, EPIC, SBAR

Onboarding Requirements

• Background check within 90 days of start, covering all locations lived in the last 7 years
• Negative 10-panel drug screen within 30 days of start
• TB screening (PPD, QuantiFERON, or T-SPOT) within 1 year of start
• Physical within 1 year of start
• Immunity documentation for measles, mumps, rubella, varicella, and hepatitis B (titer or vaccines)
• Annual flu vaccination (intranasal accepted), or an approved exemption
• Fit testing (any N95 mask within 1 year of start, or completion of PAPR training)
• Two professional references within 3 years of start
• North Carolina Division of Medical Assistance search within 90 days before start
• North Carolina Health Care Personnel Registry search
• Facility orientation and compliance modules, including Medication Safety, Confidentiality Agreement, and Education Roster
• Employment application uploaded to the staffing platform