PCU / Stepdown

Neuro Stepdown / Intermediate Care RN — Night Shift | Charlotte, NC

This 19-week travel contract places you on a specialized neurological intermediate care unit managing adult and geriatric patients with complex neuro and medical-intermediate needs. The unit runs 12-hour nights (18:45–07:15).

Patient Population & Clinical Scope

The unit focuses on intermediate-acuity neurological and medical patients, including those with CVA, craniotomy, traumatic brain injury, intracranial bleeds, aneurysm repair, spinal cord injury, seizure disorders, lumbar drains, post-TPA care, pre/post neurosurgery, and substance withdrawal. You'll also manage medical-intermediate patients requiring advanced monitoring and intervention.

Required Skills

• Titration of vasoactive drips, including levophed (LEVO), cardiac drips, and insulin drips
• Telemetry interpretation and dysrhythmia management
• Central line, PICC, and peripheral IV care; blood product administration
• BiPAP/CPAP, high-flow nasal cannula, tracheostomy care, ventilated patient management, chest tube management, ABG interpretation
• Heparin and thrombolytic protocols; PCA management
• Continuous bladder irrigation (CBI), pre/post hemodialysis management
• Feeding tube care, surgical drains, wound care/wound vac
• TR Band

Required Certifications: ACLS, BLS, NIHSS

Requirements

• Minimum 2 years of neuro stepdown or PCU/IMC/DOU experience
• Prior travel experience required — first-time travelers not accepted
• Neuro experience strongly preferred; limited neuro background must be disclosed at submission

Scheduling Details

• 36–48-hour weeks available; contracts accepted through February 27, 2027
• Minimum 3 weekend shifts per six-week period
• Float to other intermediate and critical care areas as needed
• No on-call requirement
• RTO must be pre-approved; no RTO requests after booking

Orientation: 32 hours (8-hour online class + two on-unit shifts)

Scrubs: Navy blue and white combination