ICU

Progressive Care / Step-Down Travel RN — Days | Winston-Salem, NC

This high-acuity step-down unit operates with the intensity of an ICU, caring for patients across adolescent, adult, and geriatric populations. The unit manages complex cases including post-rapid-response patients, respiratory distress, unstable hemodynamics, withdrawal, GI bleeds, and post-operative patients recovering from GYN, GU, GI, thoracic, neurological, and orthopedic surgeries, as well as pre/post-OB patients with complications.

Shift & Schedule

• Days: 6:45 AM – 7:15 PM | 3x12-hour shifts
• 36 or 48 hours per week available
• Every other weekend required
• No block scheduling; schedule is manager-created
• Floating required to a sister ICCU unit as needed
• No on-call required

Contract Details

• Duration: 16 weeks
• Start Date: October 26, 2026

Clinical Skills Required

• Arterial line insertion and management
• Titration of vasoactive and cardiac drips (Cardizem, Nitro, Precedex, Cardene, Levophed, Dopamine, Dobutamine, Neo, IV insulin)
• Conscious sedation
• Management and interpretation of dysrhythmias; bedside telemetry monitoring
• Chest tube management, tracheostomy care, BiPAP/CPAP, HFNC
• Central line, PICC line, and peripheral IV care
• Blood product administration, heparin protocols
• Rapid Response Team experience
• No ventilators on unit

Required Certifications

• ACLS, BLS, NIHSS
• Must pass EKG competency testing prior to start

Additional Details

• Minimum 2 years of RN experience required; first-time travelers accepted
• NC or Compact license required (pending acceptable at submission)
• Scrubs: Navy, white, or a combination
• Flu vaccine required (medical/religious exemptions considered)
• COVID-19 vaccine not required