Job Title Registered Nurse – PCU / IMC / Stepdown Location Winston-Salem, NC | Acute Care Schedule / Job Type Contract | Night Shift | 3x12-Hour Shifts (18:45–07:15) | Expected 36 hours/week | Every other weekend required Key Responsibilities • Provide direct patient care on a mixed-acuity 48-bed unit serving PCU and Med-Surg/Telemetry patients, with a target nurse-to-patient ratio of 1:4–5 • Manage and monitor patients presenting with COPD exacerbations, pneumonia, acute respiratory failure, pulmonary embolism, COVID-19, influenza, and respiratory distress, many with complex comorbidities • Operate and monitor specialized equipment including chest tubes, CPAP/BiPAP, chronic trach/vent patients, and IV drips (Dopamine, Cardizem, Heparin); no nurse is assigned more than one vent patient at a time • Perform telemetry monitoring including interpretation and management of dysrhythmias • Document and communicate using EPIC, Pyxis, and SBAR methodology • Float to like units within the facility as needed; collaborate with on-shift resources including an Admission/Discharge Nurse, Assistant Nurse Manager, Vascular Access Team, RRT, Code Team, and Behavioral Health Team Required Qualifications • Active RN license in North Carolina or a Compact state (pending licensure acceptable at time of submission) • Minimum 2 years of RN experience required • Previous travel nursing experience required • ACLS certification required • BLS certification required • Proficiency in IV starts, ventilator management, telemetry, CPAP/BiPAP, and dysrhythmia interpretation/management • Must pass EKG testing prior to start • Local candidates are welcome; candidates within 50 miles of the facility are eligible at a reduced rate Preferred Experience / Skills • NIHSS certification preferred • Experience with block scheduling and high-acuity respiratory patient populations • Familiarity with EPIC, Pyxis, and SBAR documentation systems Why Join Us • Work within a well-supported unit structure that includes a team lead, two rounding respiratory therapists, an Assistant Nurse Manager on shift (including weekends), and dedicated support teams to help manage high-acuity patient loads • Block scheduling may be accommodated when unit needs are met, offering potential flexibility in shift planning