PCU / Stepdown

Travel RN – Stepdown (Progressive Care) | Night Shift | Maryville, TN

Shift: Nights | 6:45 PM – 7:15 AM | 3×12-hour shifts

Contract Duration: 13 weeks | Start Date: January 11, 2027

About the Unit

This adult stepdown/progressive care unit manages a diverse, high-acuity patient population with a low nurse-to-patient ratio. Clinical scope includes telemetry monitoring, cardiac drip management, neurological conditions (CVA, TBI, seizure disorders), post-procedural cardiac care, renal failure, oncology, and complex surgical recovery. Interdisciplinary support includes physical therapy, respiratory services, pharmacy, radiology, social services, and rapid response teams.

Schedule & Coverage

• Night shift: 6:45 PM – 7:15 AM
• Weekend requirement: one shift every two weeks
• Floating to other qualified units may be required based on census needs

Required Certifications

• BLS, ACLS, NIHSS

Key Clinical Skills

• Arterial line and central line management
• Titration of cardiac and vasoactive drips, IV insulin protocols
• Care of ventilated patients; BiPAP/CPAP and high-flow nasal cannula
• Port access, PICC line management, chest tube care
• Dysrhythmia interpretation and management
• Post-TPA care, heparin protocols, thrombolytics
• Tracheostomy care, procedural sedation monitoring, wound VAC

Requirements

• Minimum 2 years of RN experience in stepdown or progressive care
• Travel experience required; first-time travelers not accepted
• Electronic health record experience required (minimum 1 year)
• Charge experience preferred
• Flu vaccine required; no exemptions accepted

Orientation: 72 hours; pre-assignment modules must be completed within 48 hours of system access (up to 16 billable hours)