Stepdown Unit Nurse (RN) in Winston-Salem, NC

Job Description

Job Description

Nursing degree, active registered nurse (RN) license and minimum 1+ years RN experience required. Applicants who do not meet these qualifications will not be considered.

This contract opportunity in Winston-Salem, NC offers a chance to provide critical care nursing in a dynamic and expanding unit at a well-established medical center with Level 1 Trauma Designation and academic teaching status.

Position Overview:You will join a new progressive care unit (PCU) expected to open in early February 2026, initially serving high acuity cardiac patients with plans to transition to a full ICU by the end of 2026. The unit will house 10-12 beds and manage complex cardiac cases including post-cardiac surgeries, heart transplants, and vascular procedures.

Responsibilities:

• Deliver comprehensive nursing care to patients with cardiac diagnoses such as CHF, STEMI/NSTEMI, arrhythmias, and post-surgical interventions.
• Manage advanced cardiac monitoring and interventions, including defibrillation, EKG interpretation, chest tubes, tracheostomies, and vasoactive drips.
• Support transitions of care as the unit evolves from PCU to ICU, eventually caring for ventilated and post-open heart patients.
• Collaborate with multidisciplinary teams including hospitalists, intensivists, residents, respiratory therapists, and telehealth technicians.
• Participate in unit float rotations within scope across designated hospital units.

Qualifications:

• Minimum 2 years ICU or PCU experience, with preference for cardiovascular ICU background.
• Current BLS, ACLS, and NIHSS certifications.
• Proficient in ICU nursing skills and cardiovascular patient management.
• Experience with Swan-Ganz catheters, Impella devices, wound care, and cardiac procedures is highly desirable.
• Familiarity with LVAD and post-cardiac transplant care is a plus; additional training provided.
• Ability to perform critical care interventions including managing chest tubes, arterial lines, and multiple drips.

Schedule:

• 12-hour shifts, 6:30 AM 7:00 PM or 6:30 PM 7:00 AM.
• Weekend rotation every other or equivalent.
• Holiday coverage approximately 50%.
• Self-scheduling with priority given to permanent staff.

Location Highlights:Winston-Salem, NC, blends rich cultural heritage with modern amenities. Known for its thriving arts scene, scenic parks, and diverse dining options, the city provides a welcoming environment and a moderate cost of living. Access to outdoor activities and convenient city services make it an attractive place to live and work.

Additional Information:

• Orientation includes two shifts on your assigned unit.
• Supporting staff includes CNA, charge nurse, phlebotomy, PICC team, and 24/7 respiratory and physician coverage.
• Free parking provided.
• Scrubs color: Royal Blue.
• Floating will be within similar patient care units.

This contract role is ideal for nurses seeking to expand their cardiac ICU expertise in a progressive, supportive setting with opportunities for professional growth. Apply now to advance your critical care nursing career in Winston-Salems renowned healthcare environment.