PCU

Progressive Care Unit (PCU) – RN

Location: Council Bluffs, IA

Shift: 12-hour nights (7:00 PM – 7:00 AM)

Contract: 13 weeks

Start Date: September 14, 2026

Guaranteed Hours: 36 per week

About the Role

Join a fast-paced progressive care unit managing patients transitioning from ICU or at risk of clinical deterioration. You'll provide skilled nursing care to moderate-acuity patients with conditions including heart failure, atrial fibrillation, respiratory distress, and stroke. This is a team-oriented environment with steady admits and discharges.

What You'll Do

• Monitor cardiac rhythms and vital signs continuously; read and interpret telemetry strips independently
• Titrate IV drips (Cardizem, amiodarone, nitroprusside) per physician orders
• Assess and respond to changes in patient condition; participate in rapid responses and codes as needed
• Manage 4 patients per shift with nursing aide and telemetry technician support
• Collaborate with the charge nurse (who carries a full assignment), physicians, and the care team
• Educate patients and families on condition, treatment, and recovery
• Document assessments and interventions accurately in the EMR

Requirements

• Active RN license (state or compact)
• BLS, ACLS, and NIHSS certifications required
• Minimum 1 year PCU/step-down experience
• Experience with telemetry monitoring and moderate-acuity patient management
• Valid driver's license

Additional Details

• Every-other-weekend schedule; cyclic scheduling
• 1 major, 1 minor holiday per year
• May float to ICU if clinically appropriate and experienced
• Orientation: 1 shift in department
• Skills assessment exam (open-book, 90% required to pass) during orientation
• Artificial nails prohibited in patient care areas
• Successful candidates must reside within 50 miles of the facility