# Job Opportunity – Registered Nurse – Medical Surgical / Telemetry / PCU – North Carolina
Start Date:
October 19, 2026
Location:
Winston-Salem, North Carolina
Compensation:
Details provided to qualified applicants
Schedule:
12-hour day shifts (06:45-19:15), 36 hours per week. Every other weekend required. Float to similar units as needed. Contract length: 13 weeks minimum, can extend through February 27, 2027.
Highlights:
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Mixed acuity unit combining Progressive Care and Medical Surgical/Telemetry patients with target nurse-to-patient ratios of 1:4-5 (up to 1:6 in extreme situations)
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48-bed unit specializing in respiratory conditions including COPD exacerbations, pneumonia, acute respiratory failure, chest tubes, and ventilator management
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Comprehensive support resources including Admission/Discharge nurse, Assistant Nurse Manager on shift including weekends, Vascular Access Team, Respiratory Therapists, RRT, Code Team, and Behavioral Health Team
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Patient population includes COVID-19, influenza, pulmonary embolism, and complex comorbidities requiring telemetry monitoring
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24-hour orientation with Epic charting system and Pyxis medication management
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Block scheduling may be accommodated when unit needs are met
Requirements:
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Minimum 2 years of RN experience in Medical Surgical, Telemetry, or PCU settings required
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Current BLS and ACLS certifications required; NIHSS preferred
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North Carolina RN license or Compact license
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Proficiency in IV starts, ventilator management, telemetry interpretation, CPAP/BiPAP management, and dysrhythmia interpretation/management
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Experience with chest tubes, central line care, heparin protocols, and cardiac/vasoactive drips
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Must pass EKG testing prior to start date
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Flu vaccination required (medical/religious exemptions considered)
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First-time travelers accepted; local candidates welcome
Why It's a Great Opportunity:
This position offers the chance to work with a diverse respiratory patient population in a well-supported, higher-acuity medical surgical environment. With respiratory therapists actively rounding, a 3:1 team lead model, and dedicated specialty support teams, nurses have the resources needed to provide excellent patient care despite challenging ratios. The unit emphasizes teamwork and provides comprehensive interdisciplinary support including pharmacy, physical therapy, social services, and interpretation services, making this an ideal opportunity for experienced nurses seeking professional growth in a collaborative setting.
Note: Requested time off is limited to a maximum of 7 days and must be pre-approved before contract signing. Changes to approved time off after booking are not permitted. Attendance expectations are strictly enforced.
