PCU / Stepdown
Stepdown / PCU RN — 12-Hour Nights | Council Bluffs, IA
A fast-paced Stepdown/PCU unit is seeking an experienced RN for a 13-week night shift contract, with a start date of December 7, 2026.
Unit & Clinical Scope
The unit manages a high volume of admits and discharges, caring for patients with diagnoses including heart failure, atrial fibrillation, respiratory distress, and stroke. RNs are expected to independently read and interpret telemetry strips, titrate drips (including Cardizem, amiodarone, and nitroglycerin), and troubleshoot CPAP equipment.
Shift & Scheduling
- Hours: 1830–0700 (nights)
- Cyclic scheduling; every other weekend required
- One major and one minor holiday required
- Guaranteed 36 hours per week
Orientation
One 12-hour shift of unit-specific orientation provided. RNs must pass an open-book skills exam during orientation with a minimum score of 90%.
Float Requirement
May float to ICU if experience is appropriate.
Required Certifications & Credentials
- Active RN license (required at submission)
- BLS, ACLS, NIHSS
- BSN required
- Valid driver's license required at submission
Additional Requirements
- Candidates must reside more than 50 miles from the facility
- No current or recent employment (full-time, part-time, or PRN) with any CommonSpirit, CHI, or Dignity-affiliated facility within the past year
- Artificial nails are not permitted in patient care areas
- All requested time off must be submitted upfront; no additional RTO will be approved after submission
Success in this role comes from a patient-first mindset, strong teamwork, and the ability to thrive in a high-acuity, high-volume environment.