RN - PCU - 57.52/hr (Progressive Care Unit)

RN - PCU - $57.52/hr (Progressive Care Unit) New Unit Opening 2/3 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 experience, CVICU preferred

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

Scheduling:

o Weekend rotation: Every other or equivalent

o On call? If so, what is that schedule? No

o Holiday Expectations: 50% of holidays in a contract

o Approval of RTO: to go through manager

o Shift times: or

o Schedule cycle: Self scheduling. Staff will sign up first, then travelers

Other notes:

o Scrub Color: Royal Blue

o Parking: Free

You'll never receive recurrent notifications, aggressive phone calls, or overbearing messages from us. Just support A US based healthcare staffing firm, Lamb Company has been serving healthcare workers so that healthcare workers may serve their patients since 2019. Our team consists of individuals with likeminded goals to have a heart for providing quality care for patients that without our help, may not receive any. Our job is to find a site that matches well with you and develop a plan to safely and effectively get you implemented into that system. As a small company with owners that are healthcare workers themselves, we understand the difficulty of starting new and finding a home where you are appreciated. We are always available and aim to find you the employment of your dreams. Please reach out with any questions which you may have