PCU / Stepdown

Intermediate Care Unit (IMCU) | Step-Down RN — Night Shift | Rochester, NY

This 13-week travel assignment places you in an Intermediate Care Unit serving adult and geriatric patients who require a higher level of monitoring and intervention than a standard medical-surgical floor. The unit has a strong focus on pulmonary patients and receives admissions from the Emergency Department, PACU, ICU, and general medical-surgical floors.

Shift & Schedule

• Nights: 7:00 PM – 7:00 AM | 3x12-hour shifts
• Every other weekend required
• Float to ICU or med-surg as needed

Clinical Scope

Patients are on continuous telemetry and pulse-oximetry. Clinical responsibilities include:

• Dysrhythmia interpretation and management
• Arterial line, central line, and PICC line care
• BiPAP/CPAP and high-flow nasal cannula support
• Titration of cardiac, vasoactive, and insulin drips
• Heparin and thrombolytic protocols; PCA management
• Pre/post hemodialysis management; renal failure care
• Tracheostomy and chest tube care
• Wound care, seizure management, and substance withdrawal
• Rapid Response and Code team participation
• Blood product administration; procedural sedation monitoring

Requirements

• Active New York RN license in hand at time of submission — no exceptions
• Minimum 1 year of step-down/PCU/IMCU experience
• Certifications: BLS, ACLS, and NIHSS (must be included in submission)
• Proficiency in electronic health record charting is required
• Candidates must reside more than 75 miles from the facility
• First-time travelers accepted

Scrub Color: Navy and white combination