PCU / Stepdown

Stepdown RN – Night Shift | San Diego, CA | 13-Week Contract

This travel RN opportunity is based in a multi-campus health system in San Diego, supporting a busy Stepdown/PCU unit managing adults and geriatric patients with complex medical and surgical needs.

Shift & Schedule

• Nights: 7:00 PM – 7:30 AM, 3x12-hour shifts
• 4 weekend shifts per 4-week cycle; at least one holiday shift required
• Start date: December 14, 2026

Clinical Scope

The unit handles a wide range of high-acuity stepdown patients, including those with neurological diagnoses (CVA, intracranial bleeds, seizure disorders, post-neurosurgery), cardiac conditions (post-MI, pre/post cardiac cath, telemetry management, vasoactive and cardiac drip titration), and surgical patients (craniotomy, orthopedic trauma, total joint replacement, skin grafts, mastectomy). Additional competencies include tracheostomy care, HFNC management, ABG interpretation, heparin protocols, and wound VAC management.

Float Requirements

May float to Medical/Surgical, Telemetry, observation, or ED hold units at or below skillset. Occasional float to another campus may be required based on census needs.

Requirements

• Active CA RN license (Temp or Perm) required at time of submittal
• BLS and ACLS (AHA-issued); NIHSS (may be obtained during onboarding)
• Minimum 2 years concurrent Stepdown/PCU experience
• Travel nursing experience required
• Charting system experience required within the last 6 months of work history
• Community hospital experience required
• No candidates residing within 100 miles of San Diego

COVID-19 Vaccine: Required (Medical/Religious exemptions considered)