Description

American Traveler is seeking an experienced RN for an Intermediate Care (IMC) position specializing in neurological and medical intermediate patients, requiring a minimum of 2 years of experience and the ability to titrate vasoactive drips including Levophed.

Details

• Hospital-based Intermediate Care Unit (IMC) specializing in neurological and medical intermediate patients
• Patient population includes neurological sub-specialties (CVA, TBI, craniotomy, aneurysm repair, spinal cord injury, intracranial bleeds, seizure disorders) alongside general medical intermediate cases
• Patient ratio of 1:3-4 on both day and night shifts
• Unit capacity of 24 beds
• Night shift schedule: 12-hour nights, 18:45–07:15
• 36- or 48-hour work weeks available
• Floating required to other intermediate areas (6A, 5A PCTU, 5C Cardiac Intermediate) as well as critical care (ICU/Stepdown)
• Minimum of 3 weekend shifts required every six weeks
• Uses Epic, Pyxis, and SBAR communication framework
• Contract length of 13–26 weeks

Requirements

• Active NC or compact RN license required
• Current certifications required: BLS, ACLS, and NIH Stroke Scale (NIHSS)
• Minimum 2 years of RN experience required; neuro experience strongly preferred
• Neuro Stepdown, PCU/DOU/IMC/Stepdown, and Telemetry experience required
• Cardiac monitoring skills required: dysrhythmia interpretation and management, telemetry monitoring, and Rapid Response/Code team activation
• Cardiovascular skills required: TR Band
• Endocrine/metabolic skills required: IV insulin protocols and titration of insulin drips
• GI skills required: feeding tube care and management
• GU/renal skills required: continuous bladder irrigation (CBI) and pre/post hemodialysis management
• IV therapy skills required: blood product administration, central line care and management, PICC line management, peripheral line care, and IV insertion
• Medication skills required: Heparin protocols, PCA, thrombolytic agents, and titration of cardiac and vasoactive drips (including Levophed)
• Neurological skills required: management of aneurysms and repair, craniotomy, CVA, intracranial bleeds, lumbar drains, post-TPA care, pre/post neurosurgery, seizure disorders, spinal cord injury, substance withdrawal, and TBI
• Respiratory skills required: ventilated patient care, chest tube management (Emerson/PleurEvac), BiPAP/CPAP, HFNC, ABG interpretation, tracheostomy care, and oxygen delivery systems
• Additional skills required: wound care/wound vac, surgical drains, and isolation precautions/PPE
• Preferred certifications: CCRN, TNCC, and CPI
• Preferred skills: triage, ICP monitoring, conscious sedation, and charge nurse experience

Additional Information

• First-time travelers will not be considered for this position
• Local candidates are accepted
• Orientation consists of 32 hours total: an 8-hour computer class plus two on-unit orientation shifts following initial hospital orientation
• Must pass an EKG test prior to start
• Scrubs must be any combination of navy blue and white
• RTO (time off) requests after booking are not permitted and cannot be negotiated once on the unit; call-off policy is strictly enforced
• An interview with the unit manager is required before placement; candidates should be prepared to provide availability within 72 hours of submission