PCU / Stepdown

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

This 20-week travel contract places you on a busy neurological intermediate care unit managing a sub-specialized neuro population alongside general medical intermediate patients. Night shift runs 12 hours (18:45–07:15), with 36- or 48-hour week options available.

Unit Scope & Patient Population

• Adult and geriatric patients with neurological and medical intermediate acuity
• Diagnoses include CVA, TBI, intracranial bleeds, aneurysm repair, craniotomy, post-TPA care, pre/post neurosurgery, lumbar drains, seizure disorders, spinal cord injury, and substance withdrawal
• Robust interdisciplinary support including respiratory, pharmacy, rapid response, and PT

Required Skills

• Titration of vasoactive drips (including levopamine) and cardiac drips; IV insulin protocols
• Cardiac monitoring: dysrhythmia interpretation and management, telemetry
• Central line, PICC, and peripheral IV care; blood product administration; heparin protocols; PCA
• Respiratory: tracheostomy care, HFNC, BiPAP/CPAP, chest tubes, ABG interpretation, vent management
• Continuous bladder irrigation, pre/post hemodialysis management, feeding tube care, wound care/wound vac, surgical drains, TR Band

Certifications Required

• BLS, ACLS, NIHSS
• Preferred: CCRN, TNCC, CPI

Scheduling Details

• Minimum 3 weekend shifts per six-week period; no call requirement
• Float may include other intermediate and critical care areas
• Orientation: 32 hours total

Minimum Qualifications

• 2 years of experience in neuro stepdown or comparable IMC/PCU setting
• Prior travel experience required; first-time travelers not accepted
• Scrubs: navy blue and white combination
• Flu vaccine required; COVID-19 vaccine not required

Neuro experience is strongly preferred — please be prepared to discuss your neurological nursing background during the required manager interview.