ICU

ICU Stepdown Nurse – 13-Week Travel Contract

Location: Winston Salem, NC

Shift: Days, 3x12-hour (7:00 AM – 7:00 PM)

Contract: 13 weeks (through February 27, 2027)

Start Date: December 7, 2026

About the Role

The facility's ICU stepdown unit is a higher-acuity intermediate care setting managing post-intensive care patients with complex needs. You'll care for patients transitioning from critical care, including those post–rapid response, with respiratory distress, hemodynamic instability, GI bleeds, and post-operative patients (GYN, GU, GI, neuro, ortho, thoracotomy >24 hours, and post-OB with complications). Patient ages range from adolescent to geriatric.

Key Responsibilities

• Provide direct care to 3–4 patients per shift with frequent assessment and monitoring
• Titrate vasoactive drips (Levophed, Neo-Synephrine, Dopamine, Dobutamine) and other medications (Cardizem, Nitro, Precedex, Cardene, insulin)
• Manage arterial lines, central lines, BIPAP/CPAP, chest tubes, and tracheostomies
• Recognize and treat cardiac dysrhythmias using bedside telemetry with remote backup
• Administer blood products, manage conscious sedation, and support rapid response interventions
• Collaborate with physicians and interdisciplinary teams on patient care plans
• Float to sister ICCU as needed

Required Qualifications

• Active RN license (NC or compact license acceptable)
• Minimum 2 years ICU/stepdown experience
• BLS and ACLS certification required; NIH certification required
• Demonstrated competency with arterial lines, vasoactive drips, and dysrhythmia management
• First-time travelers welcome; locals accepted

Unit Details

• Every other weekend required
• Navy or white scrubs
• Weekend/holiday commitments required
• Up to 7 days pre-approved time off (cannot request additional RTO after signing)
• Orientation week mandatory with daily classes; EKG testing required prior to start

Apply now to join a collaborative critical care team.