RN - PCU

RN - PCU
• About Facility:


o 1 Medical Center Blvd, Winston-Salem, NC 27157


o 885 licensed beds


o Level 1 Trauma Designation


o Teaching Hospital: Yes, Academic Medical Center


o Chest Pain Center


o Stroke Center
• Unit Information:


o New unit opening 2/3/2026. Will initially open as high acuity PCU and transition to ICU by end of 2026


o Beds: 10-12


o Minimum Years of Experience required? 2 years of ICU or PCU experience, CVICU preferred
• Starting the end of September 2026/beginning of October 2026, this experience will need to be 2 years of ICU specific experience


o Will you accept a first-time traveler? Yes
• Patient Types/Common Diagnoses:


o Heavy cardiac - CHF, cardiomyopathy, tamponade, shock, STEMI/NSTEMI, post-cath, dysrhythmias, arrhythmias, post-pacemaker/ablations, external/temporary pacers, post-CABG/open hearts, heart transplants (2-4 per month), post-vascular surgeries (AAA, fem-pops); EVARs and thoracic outlets (experience not required)
• Patient Ratios:


o Initially, will be 1:3-4. Once transitioned to ICU will be 1:2-3. Even if patients have Impella, could be 1:3 as they are typically stable waiting for transplants
• Required License, National Certification, Certs:


o BLS, ACLS, NIHSS
• Skills required:


o General nursing skills, general ICU skills, experience with above patients


o Swanz and Impella experience required


o Wound care and dressing changes a must as will see several post-surgical patients, defibrillation, EKG interpretation, post-arrest, cardioversions, manage and pull sheaths, bipap/cpap/hi-flow, chest tubes, trachs, art lines, all drips (pressors, cardiac, sedation, etc.). Will see vented patients once unit transitions to ICU


o Once unit transitions to ICU, travelers will be expected to care for fresh open hearts


o Highly preferred to have experience with LVAD and post-cardiac transplant patients, but can train here


o No ECMO. IABPS will be accepted once unit transitions to ICU
• Support within the Department:


o 1 CNA


o No unit secretary initially but will have one once transitioned to ICU


o Charge nurse - does not take patients


o Manager there in the morning, ANM there until midnight


o Phlebotomy


o PICC Team here


o Resource Nurse - charge RN for 5 Reynolds will help support this unit too


o RT 24/7


o Hospitalist 24/7


o Intensivist 24/7


o Resident physician


o Remote Tele Techs - will call RN directly for issues. Check off strips every few hours. Monitors in every room too
• Technology/Equipment:


o EMR: EPIC


o IV Pump: Alaris


o Med dispensing: Omnicell
• Floating: If yes, where?


o Could float to other units within scope of practice and below (7 Ardmore, 7 Reynolds, 5 Reynolds, Day Hospital, 5CC West will be likely units to float, but could float to other units)


o Will be put in rotation with other travelers
• Orientation (facility and unit) :


o NEO


o 2 shifts of orientation on shift hired into
• Other notes:


o Scrub Color: Royal Blue


o Parking: Free