PCU / Stepdown

Progressive Care Unit (PCU) RN

Position Overview

The facility is seeking an experienced RN for its Progressive Care Unit on the night shift. You'll provide skilled nursing care to moderate-acuity patients who require closer monitoring than a general med-surg unit but are not at ICU level. This role is ideal for an RN who thrives in a step-down environment managing patients transitioning from intensive 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; recognize 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 prioritizing care based on acuity
• Collaborate with physicians, intensivists, and interdisciplinary teams on the plan of care
• Respond to rapid response and code situations as needed
• Provide patient and family education on condition, treatment, and recovery
• Document assessments, interventions, and outcomes accurately in the medical record
• Support infection control and fall prevention protocols
• Participate in unit quality improvement and evidence-based practice initiatives

Requirements

• Active, unrestricted RN license in Kentucky (or compact license)
• BLS and ACLS certification required
• Minimum 1 year of PCU or step-down nursing experience
• Experience with telemetry monitoring and moderate-acuity patient management
• ADN minimum; BSN preferred

Schedule

• 12-hour night shifts (7:00 PM – 7:00 AM)
• Full-time position; may include on-call shifts
• Weekends and holidays required
• 13-week contract
• Start date: November 30, 2026