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RN PCUStep Down

Novant Health


Job Location:

Winston Salem, NC - USA

Monthly Salary: Not provided by the employer
Posted: 23 July 2026 (30+ days ago)
Application Deadline: 20 October 2026
Vacancies: 1 Vacancy

Job Summary

ID: Shift: Night 3x12-Hour (18:45 - 07:15) Description: RTO after booking is not allowed and is not allowed to be worked out onsite. Any call offs or additional RTO on unit could possibly turn into a cancel and SKILLS / CERTS / EXP:Minimum Years of Experience: Minimum 2 years of experience on the cardiac floor required. Traveler Experience: Required UNLESS traveler has more than 24 months of cardiac Accepted / Rate Difference: YesSkills: Cardiac Telemetry PCU/DOU/IMC/Stepdown Sheath Removal Interpretation of dysrhythmias Management of dysrhythmias Post MI Pre/Post Cardiac Cath Manage Cardiac drips- no titration Titrate Cardiac drips Chest tubes-Emerson/Pleuravac External CPAP/BIPAP Nasal Cannula Non-invasive airway managementCerts: BLS & ACLS NIHSSPREFERRED SKILLS / CERTS / EXP: Arterial line management Wound Care/Wound Vac and Charge ExperienceJOB DETAILS:Ratios: Varies per Acuity. Ratios are 1:4 for surgical step down and 1:5-6 for lower acuityShift: 1845-0715 36 HOURS ONLY Float Requirement: Will follow unit rotation - not first to floatWeekend Requirement: 4 per 4 weeks (flexible)** Contract staff will be assigned and expected to work a Storm Team and/or Hurricane Team. Contract staff may be required to report to work during a catastrophic event mass casualty or disaster. Consolidation to the Centralized Office mid contract may occur and the contract staff may be preassigned to units as neededPATIENT DIAGNOSES: Atrial Fibrillation CHF ACS CAD Aortic stenosis/regurgitation Mitral Regurgitation/Stenosis Endocarditis Cardiomyopathy PVD PAD Vasculitis Carotid stenosis Venous stasis sheath management sheath PROCEDURES / UNIT DETAILS: CABG AVR MVR TAVR Mitral Clip LAAO (Watchman procedure) VATS Carotid endarterectomy FEM-POP bypass Amputations Other vascular surgeries Cardiac surgeries Thoracic surgeries General thoracic surgery Post cath Post DCCV Post electrophysiology procedures Pacemaker EQUIPMENT: Arterial lines (not required) Doppler Bladder scanner EKG Femoral sheaths TR band Fem-stop Chest tubes Epicardial Pacing SYSTEMS (Medication Documentation Communication): Pyxis EPIC SBARUNIT ORIENTATION: 24 hoursSCRUBS: NavyINTERVIEW AVAILABILITY:Please provide your candidates interview availability for the next 72 hours while submitting. Manager will not offer without speaking to the candidate first.*** INTERNAL NOTES ***Please review against the UD*MUST Pass EKG Testing prior to start for this specialty.***Every candidate will be interviewed. Modified Time:8/17/2026 12:00:00 AM Account Manager: Lindsay Marmon Account Manager Email: COVID-19 Vaccine: Not Required Flu Vaccine: Required - Medical/Religious Exemptions Only Submittals:Low Job Requirements & Qualifications Previous Charge Experience : - Years of Experience : 2 Patient Ratio Experience : Charting System Experience : Preferred Charting System Name : Epic Community Hospital Experience : - LTAC Experience : - Trauma Level I Experience : - Trauma Level II Experience : - Travel Experience Required : - Certifications : ACLS BLS NIHSS*Skills : Arterial line management* BiPAP/CPAP management Cardiac Telemetry Central line care/management* Chest tubes-Emerson/PleurEvac Interpretation of dysrhythmias Isolation Precautions/PPE Manage Cardiac drips- no titration Management of dysrhythmias MS/Tele* Nasal Cannula Non-invasive airway management PCU/DOU/IMC/Stepdown Peripheral Line Care/Management Post MI Pre/Post Cardiac Cath Sheath Removal Starting and maintaining IVs* Telemetry* Titrate Cardiac drips Wound Care/Wound Vac* Radial Artery Lines* Unit Details Staffing & Scheduling Scheduling Type : Other Patient Ratios Days : 5-7 Patient Ratios Nights : 5-7 Patient Ratios Weekends : 5-7 Float Required : - Call Required : - Weekend Coverage : - Number of Weekend Shifts Per Contract : 4 per 6 weeks Pre-Approved Time Off : one Orientation Hours : 24 Facility & Patient Care Details Patient Age Groups : Adults Geriatrics Daily Census : 41 Number of Visits Per Day : - Number of Rooms : 43 Number of Beds : 44 Additional Unit Information Interdisciplinary Support : Physical Therapy Respiratory Services Interpretation Services Phlebotomy Radiology Social Services Rapid Response Teams Pharmacy Transportation Unit Secretary Patient Diagnoses : Atrial FibrillationCHFACSCADAortic stenosis/regurgitationMitral Regurgitation/StenosisEndocarditisCardiomyopathyPVDPADVasculitisCarotid stenosisVenous stasisSheath managementSheath removalRatios are 1:3 for surgical step down 1:4 for cardiac and vascular surgical 1:5 for all other cardiac Special Procedures/Unit Details : PLEASE REVEIW AGAINST UDCABGAVRMVRTAVRMitral ClipLAAO (Watchman procedure)VATSCarotid endarterectomyFEM-POP bypassAmputationsOther vascular surgeriesCardiac surgeriesThoracic surgeriesGeneral thoracic surgeryPost cathPost DCCVPost electrophysiology proceduresPacemaker placements Special Equipment : Arterial linesDopplerBladder scannerEKGFemoral SheathsTR BandFem-stop #Tier2 Crisis Response Compliance Candidate must go into the lab within 48 hours after signing. All testing must be completed within 48 hours. Submission Process : All units are utilizing Clinical for direct profile review Submission Details : Former Novant/New Hanover employees (PERM/PRN/EP) must wait 12 months before applying. Disclosure required (with hospital name/dates employed) at submission; facility approval needed. Current travel Per Diem clinicians arent eligible for travel contracts they must choose one. Include status and intent in the submission. Local candidates ( 50 miles) : Lower rate applies. RTO : Up to 7 days auto approved (no holidays). Must work 2 of 3 major holidays. No RTO during first week. All RTO must be pre-approved. Cannot request additional RTO after signing. NC or Compact license pending OK for submittal. Floating: Candidates must be open to floating within/near facility per job description. Travel pairs : Allowed (must be on different units and disclosed). Charting : See job description. References can be pending at submission. Modules : Pre-start modules are non-billable time spent on modules should be margined separately from orientation hours. Acute Care: 8-10 hours of modules Non-Acute: 4-5 hours of modules Must be completed pre-start and annually (varies by specialty) Conducted online - must use Google Chrome or Microsoft Edge as your browser Submittal Details: #Tier2 Crisis Response ComplianceCandidate must go into the lab within 48 hours after testing must be completed within 48 Process:All units are utilizing Clinical for direct profile reviewSubmission Details:FormerNovant/New Hanover employees (PERM/PRN/EP)must wait 12 monthsbefore applying. Disclosure required (with hospital name/dates employed) at submission; facility approval travel Per Diem cliniciansarent eligible for travel contracts they must choose one. Include status and intent in the candidates ( 50 miles): Lower rate : Up to 7 days auto approved (no holidays). Must work 2 of 3 major holidays. No RTO during first week. All RTO must be pre-approved. Cannot request additional RTO after or Compact licensepending OKfor :Candidates must be open to floating within/near facility per job pairs: Allowed (must be on different units and disclosed).Charting: See job be pending at :Pre-start modules are non-billable time spent on modules should be margined separately from orientation Care: 8-10hours of modulesNon-Acute: 4-5 hoursof modulesMust be completed pre-start and annually (varies by specialty)Conducted online - must use Google Chrome or Microsoft Edge as your browser Guaranteed Hours: Contract Weeks:91