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PCU / Stepdown
Lexington, KY
Progressive Care Unit (PCU) – Registered Nurse
Position Overview
The facility is seeking a Registered Nurse for its Progressive Care Unit. You'll provide nursing care to patients requiring closer monitoring than medical-surgical floors but who are not yet ICU-level acuity. This role is ideal for experienced nurses who thrive in a fast-paced environment managing patients transitioning from ICU care or at risk of clinical deterioration.
Key Responsibilities
- Perform comprehensive patient assessments and develop individualized care plans using the nursing process
- Continuously monitor cardiac rhythms and vital signs; identify and respond promptly to changes in patient condition
- Administer medications, including select IV drips, per physician orders
- Manage a moderate patient load (typically 3–4 patients) while setting priorities based on acuity
- Collaborate with physicians, intensivists, and the interdisciplinary team on care coordination
- Respond to rapid response and code interventions as needed
- Provide patient and family education on condition, treatment, and recovery
- Document assessments, interventions, and patient responses accurately
- Ensure infection control and fall prevention protocols are followed
Requirements
- Active, unrestricted RN license in the state of practice
- BLS and ACLS certification required
- Minimum 1+ years of PCU or step-down unit experience
- Experience with telemetry monitoring and moderate-acuity patient management
- ADN or ASN required; BSN preferred
Schedule
- 3rd shift: 7:00 PM – 7:00 AM, three 12-hour shifts per week
- Weekends and holidays as scheduled
- 13-week contract
- Start date: November 16, 2026
