Travel RN - Telemetry - Progressive Care Unit

American Traveler is hiring a Progressive Care Unit RN with strong vasoactive drip titration experience for a night shift role requiring NC or compact RN licensure.

Job Details

• PCU/ICU stepdown unit functioning more like an ICU, with strong drip management experience required,
• 20-bed unit with an average daily census of 18 and target ratios of 1:3-4,
• Patient population includes post rapid response team patients, respiratory distress, unstable hemodynamics, withdrawal, GI bleeds, and post-op GYN, GU, GI, thoracotomy, neuro, and ortho surgeries,
• Pre/post OB patients with complications such as Pitocin administration also cared for on unit,
• Patients range from adolescent to geriatric age groups,
• Manages single pressor drips (Cardizem, Nitro, Precedex, Cardene, Levophed, Dopamine, Dobutamine, Neo); patients requiring more than one are transferred to ICU,
• Uses bedside telemetry monitors with remote backup, arterial lines, BIPAP, chest tubes, and tracheostomy care; no ventilators on unit,
• Charts in Epic and uses Pyxis for medication management,
• 12-hour night shifts (18:45-7:15) on a 4x12 schedule,
• Every other weekend requirement,
• Floating required as needed to a sister ICCU unit,
• No block scheduling available; schedule created by nurse manager,

Job Requirements

• Active RN license (NC or Compact),
• Current ACLS, BLS, and NIHSS certifications,
• Minimum 2 years of relevant RN experience required,
• Required experience with arterial lines and titrating vasoactive and cardiac drips,
• Experience with PCU/DOU/IMC/Stepdown and telemetry units required,
• Must be able to interpret and manage dysrhythmias,
• Experience with IV insulin protocols, heparin protocols, blood product administration, and central/peripheral/PICC line care/management required,
• Experience managing chest tubes (Emerson/Pleur-evac), external CPAP/BIPAP, high flow nasal cannula, nasal cannula, and non-invasive airway management required,
• Tracheostomy management experience required,
• Experience with isolation precautions and use of rapid response teams required,
• IV start, telemetry monitoring, and conscious sedation experience required,
• Epic charting experience preferred,
• Must pass EKG testing prior to start for this specialty,

Additional Information

• Provide stepdown-level nursing care including dysrhythmia recognition and management, drip titration, and rapid response support,
• Navy, white, or combination navy/white scrubs required,
• Hospital orientation held during the first week; must be available for classes each day,
• First-time travelers are welcome to apply,
• Travel pairs are allowed if assigned to different units and disclosed at time of submission,
• Former PERM/PRN/EP employees of Novant Health or New Hanover must wait 12 months before reapplying as a traveler, with facility approval required,
• Local candidates within 50 miles accepted at a lower rate,
• Up to 7 days of RTO may be auto-approved if not falling on a holiday; no RTO permitted during the first week of assignment,
• Must work 2 of 3 major holidays,
• Current travel per diem clinicians must choose between per diem or travel contract status