PCU / Stepdown

PCU / Step-Down Travel Nurse — Winston-Salem, NC

This high-acuity step-down unit operates with an intensity closer to an ICU. The patient population spans adolescents, adults, and geriatrics and includes post-rapid-response patients, respiratory distress, unstable hemodynamics, withdrawal, GI bleeds, and post-operative cases covering GYN, GU, GI, thoracotomies, neuro, and ortho surgeries, as well as pre/post OB patients with complications.

Unit Scope

• Vasoactive and cardiac drips titrated on the unit (insulin, Cardizem, Nitro, Precedex, Cardene, Levophed, Dopamine, Dobutamine, Neo); one pressor drip per patient maximum before ICU transfer
• Arterial lines, BiPAP/CPAP, chest tubes, tracheostomy management; no ventilators on the unit
• Bedside telemetry monitoring with remote backup; nurses must independently recognize and manage dysrhythmias

Scheduling

• 4x12-hour day shifts; 36 or 48 hours per week available
• Every other weekend required; no block scheduling
• Float to sister ICCU unit as needed
• RTO pre-approved prior to signing; no additional RTO requests accepted after booking

Requirements

• Minimum 2 years of PCU/DOU/IMC/Step-Down experience
• Strong drip titration and arterial line experience required
• Certifications: ACLS, BLS, NIHSS
• Must pass EKG assessment prior to start date
• NC or Compact RN license (pending accepted at submission)
• Flu vaccine required (medical/religious exemptions considered)

Scrubs: Navy, white, or a combination of both

First-time travelers welcome. Local candidates within 50 miles are accepted at an adjusted rate.