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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