PCU / Stepdown

Stepdown / PCU Registered Nurse — Night Shift

Council Bluffs, IA | 13-Week Contract | Nights

The Unit

This fast-paced stepdown unit manages patients with heart failure, atrial fibrillation, respiratory distress, and stroke. RNs are expected to independently titrate drips including Cardizem, amiodarone, and nitroglycerin, as well as read and interpret telemetry strips. CPAP troubleshooting is also within the RN's scope on this unit. The environment involves a high volume of admissions and discharges, making adaptability and strong time management essential.

Shift & Schedule

• 12-hour nights: 1830–0700
• Cyclic scheduling
• Every other weekend required
• One major and one minor holiday required
• 36 guaranteed hours per week

Team Structure

• Charge nurse present on every shift (carries a full patient assignment)
• Patient care techs available for support
• Float to ICU may be required based on experience

Orientation

One 12-hour unit-specific orientation shift. RNs complete an open-book skills exam during orientation and must score 90% or higher to continue the assignment.

Required Certifications

• BLS
• ACLS
• NIHSS

Additional Requirements

• Artificial nails are prohibited in all patient care areas
• Candidates must reside more than 50 miles from the facility
• No current or recent employment (full-time, part-time, or PRN) with any CommonSpirit-affiliated facility, including CHI or Dignity Health, within the past year
• Valid driver's license required at time of submission
• All requested time off must be submitted upfront; no additional RTO will be approved after submission