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Shift: Days, 3x12hrs
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Hours: 36 hrs/wk
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Start Date: Jul 20, 2026
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Length: 13 weeks
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Openings: 1
American Traveler is seeking an experienced RN for a high-acuity PCU/CT Surgery unit at a Level 1 Trauma Academic Medical Center in Winston-Salem, NC, requiring at least 2 years of ICU or PCU experience and Swan-Ganz and Impella proficiency.
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Work in a newly opening high-acuity PCU on the CT Surgery unit (7NT) of an 885-bed Level 1 Trauma Academic Medical Center and Chest Pain/Stroke Center
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Unit is initially opening as a high-acuity PCU with 10–12 beds and will transition to an ICU by end of 2026
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Heavy cardiac patient population including CHF, cardiomyopathy, tamponade, shock, STEMI/NSTEMI, post-cath, dysrhythmias, post-pacemaker/ablation, external/temporary pacers, post-CABG/open hearts, heart transplants (2–4/month), and post-vascular surgeries (AAA, fem-pops, EVARs, thoracic outlets)
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Initial patient ratio is 1:3–4; will transition to 1:2–3 upon ICU conversion (Impella patients may still be 1:3 if stable)
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12-hour night shift (1830–0700), 36 hours per week
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EMR: Epic (experience required); IV pumps: Alaris; medication dispensing: Omnicell
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Every other weekend rotation required
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50% holiday coverage required
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Floating may occur to other units within scope of practice (likely 7 Ardmore, 7 Reynolds, 5 Reynolds, Day Hospital, 5CC West); travelers are placed in rotation for floating
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No on-call or call-back requirements
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Active NC RN license or compact RN license currently in hand
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Current certifications: BLS, ACLS, and NIHSS
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Minimum 2 years of ICU or PCU experience required; CVICU experience preferred
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Swan-Ganz (Swan) and Impella experience required
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Proficiency in wound care and dressing changes, defibrillation, EKG interpretation, post-arrest care, cardioversions, sheath management, BiPAP/CPAP/high-flow oxygen, chest tubes, trachs, arterial lines, and vasoactive/cardiac/sedation drips required
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Epic EMR experience required
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Candidates must reside more than 50 miles from the facility to be eligible for this position
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Last 4 digits of SSN and full date of birth required for consideration
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Minimum 1 professional reference dated within the past year from a Supervisor, Manager, Director, or Charge RN
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Unit is newly opening and will initially function as a high-acuity PCU before transitioning to a full ICU; travelers will be expected to care for fresh open-heart patients once the ICU transition occurs
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LVAD and post-cardiac transplant experience is highly preferred, but on-site training is available for those without it
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No ECMO experience required; IABP experience will be expected once the unit transitions to ICU
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Robust multidisciplinary support includes a non-patient-carrying charge nurse, CNA, phlebotomy, PICC team, resource nurse, RT 24/7, hospitalist 24/7, intensivist 24/7, and resident physicians; remote telemetry techs monitor and contact the RN directly
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Orientation includes a general hospital orientation (NEO) plus 2 unit-specific orientation shifts
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Royal blue scrubs required; free parking available
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First-time travelers are welcome to apply
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Candidates who have worked a permanent position at an AHSE facility must have been separated for at least 1 year to be eligible
