PCU / Stepdown

Intermediate Care Unit – RN

Position Overview

The facility is seeking an experienced RN for a 13-week contract in a higher-acuity intermediate care unit. This role requires strong ICU fundamentals and the ability to manage complex, unstable patients in a dynamic community hospital setting.

Shift & Schedule

• Every other weekend required
• No on-call
• Float required to sister ICU as needed

Required Qualifications

• Minimum 2 years ICU or stepdown experience
• ACLS, BLS, and NIHSS certifications
• Current RN license (NC or Compact pending approval)
• Must pass EKG testing prior to start
• Experience titrating vasoactive drips (Levophed, Neo-Synephrine)
• Proficiency with: arterial lines, conscious sedation, blood product administration, central/peripheral/PICC line management, chest tubes, non-invasive airway management (BIPAP/CPAP, high-flow cannula), tracheostomy care, and dysrhythmia recognition/management
• Strong telemetry monitoring and IV insulin protocol skills
• Comfort with rapid response team coordination

Patient Population & Clinical Scope

Care for post-ICU step-down, post-rapid response, and unstable patients including those with respiratory distress, hemodynamic instability, GI bleeds, withdrawal, and post-operative recovery (GYN, GU, GI, thoracotomy, neuro, ortho, OB complications). Patient ages: adolescent through geriatric. Census: ~18–20 patients.

Unit Details

• No mechanical ventilation on unit (single vasoactive drip limit; additional drips require ICU transfer)
• Bedside telemetry with remote monitoring; on-unit monitoring required
• Orientation week includes mandatory daily classes

What to Bring

Navy and white scrubs (not provided).