PCU / Stepdown

Travel RN – Step-Down Unit | Night Shift | Maryville, TN

This is a 13-week travel nursing assignment on a medical step-down unit caring for adult patients with moderate-to-high acuity. The unit provides comprehensive interdisciplinary support including respiratory services, physical therapy, pharmacy, radiology, social services, and rapid response teams.

Schedule

• Nights: 3×12-hour shifts (18:45–07:15)
• Weekend rotation: one shift every two weeks
• Orientation: 72 hours

Clinical Scope

The unit manages a diverse adult patient population, including telemetry monitoring, post-cardiac procedures, neurological conditions (CVA, TBI, seizure disorders), renal failure, and surgical step-down care. Nurses are expected to be proficient in:

• Arterial line and central line management
• Titration of cardiac and vasoactive drips, including insulin drips
• High-flow nasal cannula and non-invasive airway management
• Blood product administration and heparin protocols
• Tracheostomy care, chest tube management, and wound/wound vac care
• Telemetry interpretation and dysrhythmia management

Requirements

• Minimum 2 years of RN experience in a step-down or similar setting
• Prior travel nursing experience required
• Active ACLS and BLS required; NIHSS required
• Minimum 1 year of experience with electronic health record charting required
• Flu vaccine required; no exemptions accepted

Additional Notes

• Float to qualified units or campuses may be required based on census needs
• Pre-assignment modules must be completed within 48 hours of system access; up to 16 hours of module time is reimbursable
• Travelers are eligible for up to three consecutive 13-week contracts before conversion or separation is required