PCU / Stepdown

Medical ICU / PCU Overflow RN — Asheville, NC

Night Shift | 13-Week Contract

This combined Medical ICU and PCU overflow unit manages high-acuity critical care patients alongside step-down overflow, requiring a nurse who can confidently shift between both levels of care. The unit operates with a charge nurse out of staffing and no unit secretaries or patient care technicians, so candidates should be comfortable working autonomously in a lean staffing model.

Shift & Schedule

• Nights: 6:45 PM – 7:15 AM (12-hour shifts)
• Every other weekend required
• Holiday support expected
• No on-call requirement
• Floating to other units is required

Clinical Scope

• Advanced hemodynamic monitoring
• Ventilator management
• Critical care pharmacology: IV sedation, paralytics, vasopressors
• Central line management
• Targeted temperature management (TTM)
• Bedside procedure assistance: chest tube insertion, intubation, and other provider-directed procedures
• Bedside shift report is mandatory; relief charge nurses are expected to perform nurse leader rounding

Required Qualifications

• Medical ICU experience (prior experience in a high-volume setting required)
• Strong critical thinking skills; must be adaptable and collaborative
• Certifications: BLS, ACLS
• Scrubs: Navy blue or white

Contract Details

• Duration: 13 weeks
• Guaranteed hours: 36 per week
• Start date: September 21, 2026