PCU/Stepdown Nurse (RN) | Winston-Salem, North Carolina

Job Description

Job Description

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

Providing specialized nursing care to intermediate-level patients with cardiac and neurological conditions, this position supports a 36-bed Progressive Care Unit focused on stroke, heart failure, and other critical diagnoses. The role involves continuous monitoring, timely interventions, and collaboration with a multidisciplinary healthcare team in a well-equipped setting.

Location: Winston-Salem, NC offers a welcoming community with a balance of urban amenities and natural beauty, known for its cultural attractions, parks, and thriving healthcare sector.

Key Responsibilities:

• Deliver comprehensive nursing care for intermediate patients, including stroke and cardiac cases, with an average nurse-to-patient ratio of 1:4.
• Monitor telemetry and interpret cardiac rhythms, managing hemodynamic drips such as Cardizem, Heparin, Insulin, Neo, Nitro, and Amio.
• Detect and escalate neurological changes promptly, utilizing NIHSS certification skills.
• Collaborate with support staff including CNAs, charge nurses, respiratory therapists, and hospitalists to ensure optimal patient outcomes.
• Maintain meticulous documentation using EMR systems (Encompass/EPIC).
• Use specialized equipment such as Philips MX-40 monitors, Baxter IV pumps, wound vacs, and specialty beds as required.
• Adhere to unit policies and participate in department orientation and ongoing training.

Qualifications and Experience:

• Registered Nurse (RN) licensed to practice.
• Minimum of 1 year experience in progressive care or stepdown nursing; first-time travelers will not be accepted.
• Certifications required: BLS, ACLS, NIHSS.
• Proficiency in managing telemetry patients and titrating critical drips.
• Strong assessment skills and ability to respond effectively to changes in patient condition.

Perks and Benefits:

• Free parking on site.
• Collaborative unit culture with strong leadership and dedicated team members.
• Structured orientation program including facility and unit-specific training.

This is a contract position offering an opportunity to contribute your specialized nursing skills in a dynamic, supportive environment. Interested candidates with the qualifications above are encouraged to apply for consideration.