PCU / Stepdown

Travel RN – Trauma Stepdown | Denton, TX

Night Shift | 7:00 PM – 7:00 AM | 13-Week Contract

This busy Trauma Stepdown unit primarily serves patients arriving from the emergency department and provides high-acuity stepdown care across a broad range of surgical and medical diagnoses.

Clinical Scope

The unit manages patients requiring acute surgical intervention and post-operative care, including trauma, bariatric, vascular, orthopedic, urological, neuro/spine, and general surgery. Medical patients include those with neurological diagnoses (CVA, TIA, TBI, altered mental status, new-onset seizures), sepsis, GI bleed, pulmonary embolus, alcohol withdrawal, and chest pain. Cardiac patients include pre/post cath lab procedures, acute dysrhythmias, NSTEMI/STEMI rule-outs, and hemodynamically stable post-op cardiovascular surgery patients. The unit also cares for respiratory distress patients requiring advanced oxygen support and manages multiple IV drip infusions including heparin, amiodarone, nitroglycerin, dopamine, and others.

Nurses float to other stepdown service lines within the same care area.

Shift Details

• Schedule: Nights, 7:00 PM – 7:00 AM
• Guaranteed hours: 36 per week
• No on-call requirement

Requirements

• Active RN license
• ACLS, BLS, NIH Stroke Scale certification required
• Trauma or orthopedic experience preferred
• Strong communication skills and adaptability in a fast-paced environment

Scrubs / Assessment Cadence

Vitals and patient assessments every 4 hours; continuous telemetry monitoring.

If you thrive in a high-volume surgical and trauma environment with diverse patient acuity, this assignment offers strong clinical variety and a collaborative team setting.