PCU / Stepdown

Observation Unit RN — Night Shift | Toledo, OH | 13-Week Contract

This is a fast-paced, mixed observation unit serving adult and geriatric patients with a length-of-stay goal of 18–24 hours. The unit functions as a blended PCU/Med-Surg Telemetry/Med-Surg environment, managing a wide range of acute presentations.

Shift & Schedule

• Nights: 18:45–07:15 (3×12-hour shifts)
• Every other weekend required
• No block scheduling; schedule changes with two-week notice

Patient Population & Clinical Scope

Diagnoses include chest pain, atrial fibrillation, TIA, CHF, seizure, COPD/asthma, GI bleed/anemia, AKI, syncope, pancreatitis, cellulitis, and post-outpatient surgery complications. Approximately two-thirds of patients are managed by ED Observation providers. Skills required include cardiac drip management (heparin, nitroglycerin, cardizem, insulin infusions), telemetry interpretation, dysrhythmia management, and neurological assessment.

Float Requirement

Floating within the service line and across multiple regional facilities (including Flower, Bay Park, and Wildwood campuses) is an expectation for all travelers. Float units include Neuro/Stroke, Cardiac, Orthopedic, Oncology, General Surgery, Uro/Vascular, and Observation.

Requirements

• Minimum 2 years of relevant RN experience
• Charge nurse experience required
• Certifications: ACLS, BLS, NIHSS
• Charting system proficiency required
• Active Ohio RN license (pending accepted); Michigan license must be in hand
• 50-mile local radius exclusion applies
• COVID-19 and flu vaccines required (medical/religious exemptions considered)

Scrub Color: Navy Blue