Progressive Care Unit Registered Nurse (PCU RN) – Nights

Columbia, IN - USA

Monthly Salary: Not Disclosed

Posted on: 30+ days ago

Vacancies: 1 Vacancy

Job Summary

Job Title: Progressive Care Unit Registered Nurse (PCU RN) Nights
Location: Columbia Missouri
Department: Stepdown / Progressive Care Unit (PCU)
Job Type: 13-week contract
Schedule: Night Shift 7:00 PM 7:30 AM 36 hours/week guaranteed Holiday coverage and floating required

Position overview

The PCU Registered Nurse Nights provides high-acuity stepdown care to patients requiring continuous cardiac monitoring vasoactive drips advanced lines and noninvasive respiratory support. This role is ideal for experienced critical care and PCU nurses who are confident managing complex patients titrating drips and floating to related units when needed.

Key responsibilities

Provide direct nursing care to PCU/stepdown patients including cardiac respiratory and post-critical care populations.
Titrate vasoactive and antiarrhythmic drips such as neosynephrine amiodarone cardizem and other high-risk infusions per protocol.
Manage and troubleshoot central lines PICCs arterial lines and other vascular access devices ensuring line integrity and infection prevention.
Monitor cardiac rhythms interpret telemetry and respond promptly to rhythm changes and clinical deterioration.
Administer medications safely including management of IV PCA and epidural pumps following facility policies and critical care standards.
Provide airway and respiratory support including CPAP/BiPAP high-flow systems (Optiflow Vapotherm AirVo) and tracheostomy care.
Float to other appropriate units (e.g. telemetry med/surg) as needed based on census and staffing maintaining PCU-level standards of care.

Required qualifications

Active current RN license (state-appropriate) at time of submission.
Minimum 2 years of recent critical care experience; PCU and/or ICU background strongly preferred.
Current BLS ACLS and NIHSS certifications.
Demonstrated experience with IV insertion advanced line management and titration of vasoactive drips.
Ability to manage high-acuity stepdown patients work night shifts cover holidays and float per facility policy.
EMR proficiency; experience with Meditech critical care/PCU workflows preferred.

Core competencies

Critical thinking and rapid clinical decision-making for patients whose conditions can change quickly.
Cardiac monitoring and rhythm interpretation with appropriate escalation and intervention.
Advanced line and airway management including central lines arterial lines CPAP/BiPAP and high-flow systems.
Strong teamwork and communication skills within a multidisciplinary PCU and float environment.
Adaptability and resilience in a dynamic care setting with variable patient acuity and census.
Patient safety and quality-focused care with accurate documentation in Meditech EMR.

Additional assignment details

Typical nurse-to-patient ratio is 1:3 though ratios may vary based on census and staffing and are not guaranteed.
Equipment commonly used includes BiPAP/CPAP Optiflow Vapotherm AirVo IV and PCA pumps bladder scanners and wound vacs.
Travelers may be downstaffed approximately 36 48 hours over the 13-week contract depending on unit needs.

Job Title: Progressive Care Unit Registered Nurse (PCU RN) Nights Location: Columbia Missouri Department: Stepdown / Progressive Care Unit (PCU) Job Type: 13-week contract Schedule: Night Shift 7:00 PM 7:30 AM 36 hours/week guaranteed Holiday coverage and floating required Position ov...

Position overview

Key responsibilities

Provide direct nursing care to PCU/stepdown patients including cardiac respiratory and post-critical care populations.
Titrate vasoactive and antiarrhythmic drips such as neosynephrine amiodarone cardizem and other high-risk infusions per protocol.
Manage and troubleshoot central lines PICCs arterial lines and other vascular access devices ensuring line integrity and infection prevention.
Monitor cardiac rhythms interpret telemetry and respond promptly to rhythm changes and clinical deterioration.
Administer medications safely including management of IV PCA and epidural pumps following facility policies and critical care standards.
Provide airway and respiratory support including CPAP/BiPAP high-flow systems (Optiflow Vapotherm AirVo) and tracheostomy care.
Float to other appropriate units (e.g. telemetry med/surg) as needed based on census and staffing maintaining PCU-level standards of care.

Required qualifications

Active current RN license (state-appropriate) at time of submission.
Minimum 2 years of recent critical care experience; PCU and/or ICU background strongly preferred.
Current BLS ACLS and NIHSS certifications.
Demonstrated experience with IV insertion advanced line management and titration of vasoactive drips.
Ability to manage high-acuity stepdown patients work night shifts cover holidays and float per facility policy.
EMR proficiency; experience with Meditech critical care/PCU workflows preferred.

Core competencies

Critical thinking and rapid clinical decision-making for patients whose conditions can change quickly.
Cardiac monitoring and rhythm interpretation with appropriate escalation and intervention.
Advanced line and airway management including central lines arterial lines CPAP/BiPAP and high-flow systems.
Strong teamwork and communication skills within a multidisciplinary PCU and float environment.
Adaptability and resilience in a dynamic care setting with variable patient acuity and census.
Patient safety and quality-focused care with accurate documentation in Meditech EMR.

Additional assignment details

Typical nurse-to-patient ratio is 1:3 though ratios may vary based on census and staffing and are not guaranteed.
Equipment commonly used includes BiPAP/CPAP Optiflow Vapotherm AirVo IV and PCA pumps bladder scanners and wound vacs.
Travelers may be downstaffed approximately 36 48 hours over the 13-week contract depending on unit needs.