PCU / Stepdown

Telemetry/Step-Down (TCU) | Night Shift | Richmond, VA

This 13-week contract (with potential for extension to 91 weeks) places you in a step-down/transitional care unit running nights, 19:00–07:00. The unit manages moderate-to-high acuity cardiac and medical patients requiring close monitoring and intervention.

Clinical Scope

• Cardiac drip management: diltiazem, amiodarone, dobutamine, milrinone, nitroglycerin, and others
• BIPAP, CPAP, and high-flow oxygen therapy
• Chest tube management
• Post-cath recovery (without intervention)
• Sepsis management
• Occasional bedside cardioversion performed with appropriate support staff

Required Qualifications

• Active RN license (Virginia or compact)
• ACLS certification
• Minimum 1–2 years of step-down or acute cardiac care experience
• Demonstrated proficiency with cardiac drips and non-invasive ventilation

Schedule & Float

• 12-hour nights | 36 guaranteed hours per week
• Every other weekend required
• Holiday and hard-to-fill shift availability expected
• 2 Mondays and 2 Fridays per scheduling period
• Float to other step-down units or medical-surgical floors may be required

Unit Culture & Expectations

• Punctuality is strictly enforced — shift starts promptly at 19:00
• Mandatory shift huddle attendance
• Bedside shift report (BSSR) with patient participation is required for all patients, including isolation
• Teamwork and accountability are core to this unit's culture

Dress Code

• All navy blue or all white scrubs; closed-toe shoes required; no Crocs
• Facility-branded T-shirts permitted

Start Date: October 12, 2026