PCU/Stepdown Nurse (RN) | Lexington, North Carolina

Company: Soliant
Location: Lexington
Posted on: February 7, 2026

Job Description:

Job Description Job Description Nursing degree, active registered nurse (RN) license and minimum 1 years RN experience required. Applicants who do not meet these qualifications will not be considered. An exciting opportunity is available for a registered nurse with stepdown or ICU experience to join a new progressive care unit in a contract role based in Lexington, NC. This unit is set to open in early February 2026 as a high acuity PCU and transition to a full ICU by the end of the year, providing a dynamic and evolving work environment focused on cardiac and vascular care. Location Overview Lexington, NC, is a vibrant community known for its rich history, friendly neighborhoods, and convenient access to medical centers and cultural attractions. The city offers a comfortable work-life balance with opportunities for outdoor activities, local dining, and a welcoming atmosphere. Key Responsibilities - Provide comprehensive nursing care to high acuity cardiac and vascular patients, including those with CHF, cardiomyopathy, post-cardiac surgery, heart transplants, and advanced cardiac support devices. - Administer and manage advanced therapies such as pressors, sedation drips, chest tubes, tracheostomies, and mechanical ventilation as the unit transitions to ICU level care. - Perform wound care and dressing changes, defibrillation, EKG interpretation, cardioversions, and sheath management. - Collaborate with multidisciplinary teams including intensivists, hospitalists, respiratory therapists, and phlebotomists. - Participate in patient monitoring through EPIC EMR and remote telemetry technology. - Float occasionally to other medical units as required within scope of practice. Qualifications / Desired Experience - Minimum 2 years of ICU or PCU experience; CVICU experience preferred. (Starting late 2026, ICU-specific experience will be required.) - Certification in BLS, ACLS, and NIHSS. - Proficiency in caring for patients with advanced cardiac devices (Swanz, Impella, LVAD experience highly preferred). - Strong skills in wound care, post-operative care, and cardiology nursing interventions. - Ability to care for complex cardiac transplant patients and manage high acuity patient ratios (initially 1:34, transitioning to 1:23). - First-time travelers are welcomed. Schedule & Work Environment - Shifts: 0630-1900 or 1830-0700 - Weekend rotation approximately every other weekend - No on-call responsibilities - Self-scheduling with staff given priority - 50% holiday coverage required - Contract assignment length discussed upon interview Benefits & Perks - Free parking - Professional growth in a state-of-the-art academic medical setting - Orientation with dedicated nurse educator and support from experienced resource nurses and advanced practice teams This contract position offers a rewarding chance to develop your career in a cutting-edge cardiovascular unit, with a team focused on excellent patient outcomes and professional collaboration. Candidates with critical care expertise looking to be part of a new unit with advanced patient care technologies are encouraged to apply. Submit your application today to advance your nursing career in this heart-focused stepdown/ICU transition role.

Keywords: Soliant, Greensboro , PCU/Stepdown Nurse (RN) | Lexington, North Carolina, Healthcare , Lexington, North Carolina