ICU

Neuro IMC/Stepdown — Travel RN | Charlotte, NC

Night Shift | 3×12-Hour | 18:45–07:15 | 19-Week Contract

This intermediate care/stepdown unit specializes in neurological and medical intermediate patients, including adults and geriatrics managing complex neurological diagnoses. Patient diagnoses include CVA, intracranial bleeds, aneurysms, traumatic brain injury, craniotomies, post-neurosurgery care, spinal cord injuries, seizure disorders, lumbar drains, post-TPA care, and substance withdrawal.

Requirements:

• Minimum 2 years of experience; neuro experience required — limited neuro background may result in non-acceptance
• Previous travel experience required; first-time travelers not accepted
• Active ACLS, BLS, and NIHSS certifications required

Required Clinical Skills Include:

• Titration of vasoactive and cardiac drips, including levophed (LEVO)
• IV insulin protocols and insulin drip titration
• Cardiac telemetry monitoring and dysrhythmia interpretation/management
• Central line, PICC, and peripheral IV care and management
• Blood product administration and heparin protocols
• Tracheostomy care, BiPAP/CPAP management, high-flow nasal cannula, chest tube management, and ventilated patient care
• Continuous bladder irrigation (CBI), pre/post hemodialysis management
• Feeding tube care, wound care/wound vac, and surgical drains
• ABG interpretation and rapid response/code team participation

Scheduling Details:

• Float requirement: other intermediate care areas and ICU/stepdown patients
• Weekend requirement: minimum 3 shifts every 6 weeks
• No on-call requirement
• Orientation: 32 hours (computer training plus two on-unit shifts)
• Scrubs: navy blue and white combination

Additional Notes:

• RTO cannot be requested after booking; strictly enforced
• Must work 2 of 3 major holidays; no RTO during first week
• Flu vaccine required (medical/religious exemptions considered)