PCU / Stepdown
Registered Nurse – Intermediate Care (Night Shift)
About the Role
The facility is seeking an experienced RN for its Intermediate Care unit focused on pulmonary, cardiac, and trauma patients. You'll work nights providing skilled care to adults and geriatric patients with complex medical and surgical needs.
Schedule & Duration
- Shift: Night (7:00 PM – 7:00 AM), 3 x 12-hour shifts per week
- Weekend Commitment: 6 weekend shifts per 6-week period (Saturday or Sunday)
- Contract Length: 13 weeks
- Scrub Color: Navy blue
Clinical Focus
This unit specializes in advanced airway management and post-acute cardiac care. Your patient population will include those on mechanical ventilation, with tracheostomies, on high-flow oxygen, BiPAP, and/or receiving continuous cardiac medications. You'll also care for patients with acute and chronic pulmonary conditions, CHF, rule-out MI, post-MI, dysrhythmias, pacemaker/ICD management, and post-catheterization care. The unit includes medical/surgical overflow.
Core Competencies Required
- Mandatory: Ventilator management and comprehensive respiratory skills (tracheostomy care, high-flow nasal cannula, BiPAP)
- Dysrhythmia management and cardiac telemetry monitoring
- Central line, peripheral line, and PICC line care
- Cardiac drip administration and titration
- Pre/post cardiac catheterization care
- Heparin protocols and rapid response activation
- Charge RN experience (willing to assume charge role)
Qualifications
- Active Virginia or Compact RN license (in hand at submission)
- Current BLS and ACLS certifications
- Cardiac telemetry experience within the past year
- Minimum 2 years experience in PCU/DOU/IMC/stepdown settings
- Experience with the facility's charting system required
Additional Requirements
- COVID-19 vaccine required (medical/religious exemptions only)
- Flu vaccine required during flu season (October 1 – March 31); medical exemptions only
- Smoke/nicotine-free facility
- Orientation includes charting system training