PCU / Stepdown
Hybrid PCU/Medical-Surgical Unit — RN
Position Overview
Join a hybrid progressive care and medical-surgical nursing team on a busy inpatient unit. You'll deliver care to acutely ill adults across both specialties, managing complex post-operative, cardiac, and medically acute patients.
Shift & Schedule
- Days: 3x12-hour (06:30–19:00)
- Rotating weekends (no on-call)
- 13-week contract
- Orientation begins Sundays with online modules; general orientation spans 16 hours (non-billable)
Requirements
- Minimum 2 years RN experience
- At least 1 year of documented PCU experience within the past 2 years (hard requirement)
- Current AHA BLS and ACLS certifications
- NIHSS preferred
- Must reside 100+ miles from the facility
- Must pass Relias advanced EKG assessment within 72 hours of offer acceptance (two attempts allowed)
- Flu vaccine required (medical/religious exemptions available); COVID-19 vaccine not required
Clinical Scope
This hybrid unit manages 17–19 patients daily with mixed acuity. You'll care for post-cardiac surgery, post-thoracic surgery, stroke, trauma, and acute medical patients. Daily clinical skills include telemetry monitoring, central line and PICC management, chest tube care, tracheostomy care, blood product administration, BiPAP/CPAP support, high-flow oxygen, dysrhythmia interpretation, and post-procedure monitoring.
Ratios
Additional Expectations
- Active participation in nursing student education and clinical mentorship
- Proficiency required in both PCU and medical-surgical nursing
- Flexibility for additional shifts based on census needs (no financial penalty)
- One shift per pay period may be cancelled without penalty if census drops