Travel ICU​/Stepdown Telemetry RN

American Traveler is seeking a travel nurse RN ICU - Intensive Care Unit Med Surg for a travel nursing job in Winston-Salem, North Carolina.

• Specialty:
  ICU - Intensive Care Unit
• Discipline:
  RN
• Start Date:
  
  03/30/2026
• Duration:
  13 weeks
• 36 hours per week
• Shift:
  12 hours, nights
• Employment Type:
  
  Travel

Assignment Overview

• Shift: Nights, 3x12hrs
• Hours:
  
  36 hrs/wk
• Start Date:
  
  Mar 30, 2026
• Length: 13 weeks
• Openings: 1

American Traveler is hiring an experienced RN for an ICU Stepdown position requiring strong vasoactive drip and arterial line experience, with night shift availability and every-other-weekend commitment.

• ICU Stepdown unit within a hospital setting, functioning more like an ICU in acuity
• Patient population includes post-rapid response, respiratory distress, unstable hemodynamics, withdrawal, GI bleeds, pre/post-op GYN/GU/GI/thoracotomy/neuro/ortho surgeries, and pre/post OB with complications (Pitocin); patient ages range from adolescent to geriatric
• Unit capacity of 20 beds (ADC: 18); nurse-to-patient ratio of 1:3-4
• Vasoactive drips used on unit include Cardizem, Nitro, Precedex, Cardene, Levophed, Dopamine, Dobutamine, and Neo; unit policy limits patients to one pressor drip (additional pressors require ICU transfer)
• Specialized equipment includes bedside telemetry monitors with remote backup, A-lines, BiPAP, chest tubes, and trachs; no ventilators on unit
• EMR:
  Epic; medication dispensing via Pyxis
• Night shifts (6:45 PM – 7:15 AM), 3x12-hour shifts per week; 36 or 48 hours per week available
• Every other weekend required
• Floating required as needed to a sister ICCU unit
• Schedule is created by the nurse manager; block scheduling is not available

• Active NC or compact RN license required
• Current certifications required: BLS, ACLS, and NIH Stroke Scale (NIHSS)
• Minimum 2 years of RN experience required
• Strong vasoactive drip titration and arterial line experience required
• Required skills include: telemetry interpretation and dysrhythmia management, IV insulin protocols, blood product administration, central/peripheral/PICC line care, heparin protocols, chest tube management (Emerson/Pleur-evac), BiPAP/CPAP, High Flow Nasal Cannula (HFNC), tracheostomy management, isolation precautions, and use of rapid response teams
• Experience with IV starts and conscious sedation required
• Must be able to recognize and treat dysrhythmias
• Must pass EKG testing prior to start

• First-time travelers are welcome to apply
• Local candidates are accepted
• Hospital orientation is held during week one; attendance is required each day
• Scrub colors: navy, white, or a combination of both
• RTO requests after booking are not permitted; call-offs or additional RTO may result in contract cancellation

American Traveler Job  #P-679869. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title:
Travel RN - ICU

With over 25 years of experience, American Traveler has established a reputation for outstanding customer service. Our team ensures a smooth, worry-free experience for those starting on or expanding their travel nursing and allied careers.

With thousands of travel nursing and allied jobs nationwide, our attentive and approachable recruiters find positions that align perfectly with your career aspirations and personal requirements.

American Traveler offers exceptional benefits, including premium medical, dental, vision and life insurance beginning day one of your assignment, generous 401(k) match, substantial housing stipends, and more. Additionally, with 24/7 support and access to our in-house clinicians, you are assured confidence and comfort throughout your assignment.

With our team behind you, you can relax and enjoy a rewarding travel career.