PCU / Stepdown

Night Shift RN – PCU

Shift & Duration

Night 3x12-Hour (7:00 PM – 7:00 AM)

17-week contract

Starting November 2, 2026

About the Role

The facility's progressive care unit manages patients stepping down from higher acuity settings and those requiring close monitoring. You'll care for adults and geriatric patients with diagnoses including heart failure, new-onset atrial fibrillation, COPD, and ia. The unit operates mostly on telemetry with some medical PCU overflow.

Clinical Scope

• Cardiac telemetry monitoring (on-unit and remote)
• Central line care and management
• Chest tube management
• Tracheostomy care
• PICC and peripheral line management
• Non-invasive airway support (BiPAP/CPAP, high-flow nasal cannula)
• Feeding tube management
• Manage pre-set cardiac and vasoactive drips (no titration)
• Heparin protocols
• Post-cardiac procedure care (angiogram, cath, surgery, thrombolytic therapy)
• Seizure and stroke management
• Wound care and wound vac
• Blood product administration

Staffing & Support

• Float as needed within the hospital and to sister facilities (within 10-mile radius)
• Weekend coverage required
• Interdisciplinary support: IV teams, respiratory, PT, pharmacy, radiology, social services, rapid response, and unit secretary

Requirements

• Active PA or Compact nursing license required at submission
• Minimum 1 year nursing experience
• Current ACLS, BLS, NIHSS certifications (AHA only)
• Charting system experience preferred
• Willing to float and work every other holiday
• Two supervisor references preferred

Vaccines

Flu vaccine required (medical/religious exemptions allowed); COVID-19 not required