IMC/PCU/Stepdown – RN

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Job ID: 899881

Job Title

Registered Nurse – Cardiac Stepdown

Location

Winston-Salem, NC | Cardiac Stepdown / Telemetry

Schedule / Job Type

Contract | Nights | 12-Hour Shifts (18:45–07:15) | Expected 36–48 hours/week | 13-week assignment or longer

Key Responsibilities

• Provide direct patient care on a Cardiac Telemetry/Stepdown unit with a 1:6 patient ratio and an average daily census of 23
• Monitor, interpret, and manage cardiac dysrhythmias and telemetry for patients presenting with diagnoses including cardiac arrhythmias, MI, ACS, heart failure, DKA, uncontrolled diabetes, post-heart catheterization, post-PPM, and post-ICD
• Administer and monitor cardiac drips (no blood pressure titration required)
• Perform IV starts and maintain proficiency with telemetry monitoring
• Document accurately using EPIC (SBAR communication framework); access medications via PYXIS
• Float to other units or areas within/near the facility as required; complete 8 weekend shifts per contract and work 2 of 3 major holidays

Required Qualifications

• Active NC RN license or valid Compact RN license (pending licensure acceptable at time of submission)
• Minimum 2 years of RN experience
• Cardiac Telemetry experience required — this is a Cardiac Tele unit; candidates must demonstrate competency in IV starts, telemetry monitoring, and interpretation and management of dysrhythmias
• Required certifications: ACLS, BLS/BCLS, and NIH Stroke Scale
• EKG testing required prior to start
• Local candidates are welcome to apply (note: a different rate applies for candidates residing within 50 miles of the facility)

Preferred Experience / Skills

• Stepdown or IMC (Intermediate Care) unit experience strongly preferred
• First-time travelers will be considered, particularly those with stepdown experience
• Familiarity with EPIC electronic health records

Why Join Us

• Work in a collaborative, team-focused environment on a high-acuity cardiac unit with a structured 3-day orientation including dedicated EPIC training
• Opportunity for extended contract length beyond the initial 13-week assignment

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