Travel RN - Telemetry - Progressive Care Unit

Travel RN - Telemetry - Progressive Care Unit

American Traveler is hiring an experienced RN for a Progressive Care Unit (PCU) position requiring strong vasoactive drip titration skills and NC or compact RN licensure.

Progressive Care Unit (PCU) functioning similarly to an ICU stepdown

20-bed unit with an average daily census of 18 patients

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 surgical patients

Also cares for pre/post OB patients with complications requiring Pitocin

Patient ages range from adolescent to geriatric

Target nurse-to-patient ratio of 1:3-4

Only one pressor drip per patient allowed on the unit; additional drips require ICU transfer

Manages drips including Cardizem, Nitro, Precedex, Cardene, Levophed, Dopamine, Dobutamine, and Neo

Uses bedside telemetry monitors with remote backup

Unit uses Pyxis and Epic systems

No ventilators on the unit, but BiPAP, A-lines, chest tubes, and tracheostomies are managed

12-hour night shifts (18:45-7:15) on a 3x12 schedule

Every other weekend requirement

Floating required as needed to a sister ICCU unit

Schedule created by the nurse manager; no block scheduling available

Active NC or compact RN license required (pending license accepted at submission)

Minimum 2 years of relevant RN experience required

BLS, ACLS, and NIHSS certifications required

Required experience with arterial line management and titrating vasoactive and cardiac drips

Experience with PCU/DOU/IMC/Stepdown and telemetry care required

Skilled in interpretation and management of dysrhythmias

Experience with IV insulin protocols, heparin protocols, and IV therapy/phlebotomy

Experience with blood product administration, central line, peripheral line, and PICC line care/management

Experience managing chest tubes (Emerson/Pleur-evac), external CPAP/BIPAP, high flow nasal cannula, and nasal cannula

Skilled in non-invasive airway management and tracheostomy care/management

Experience with isolation precautions/PPE

Experience with IV starts, telemetry monitoring, and conscious sedation

Epic charting experience preferred

Monitor and respond to dysrhythmias using bedside telemetry with remote backup

Utilize rapid response/code teams as needed for patient care escalation

Must pass EKG testing prior to start for this specialty

Hospital orientation occurs during the first week; traveler must attend classes daily

Scrub colors limited to navy, white, or a combination of the two

Must work 2 of 3 major holidays

Up to 7 days of RTO may be auto-approved, excluding holidays; no RTO allowed during the first week of assignment

First-time travelers are welcome to apply

Local candidates within 50 miles accepted at a lower pay rate

Former Novant Health or New Hanover employees (PERM/PRN/EP) must wait 12 months before applying and disclose prior employment details for facility approval

Travel pairs allowed if placed on different units with separate schedules and independent transportation

13-week minimum contract length, with longer contracts available