PCU / Stepdown

Step-Down / Intermediate Care RN — Night Shift | Rochester, NY

13-Week Contract | 4x12 Nights (7:00 PM – 7:00 AM)

This intermediate care / step-down unit focuses on adult and geriatric patients who require a higher level of monitoring and intervention than a general medical-surgical floor can provide. The unit's primary patient population includes pulmonary-focused diagnoses, with admissions arriving from the emergency department, PACU, ICU, and medical-surgical floors. All patients are on continuous telemetry and pulse-oximetry monitoring.

Clinical Scope

• Airway management including BiPAP/CPAP, high-flow nasal cannula, and oxygen therapy
• Arterial line, central line, and PICC line management
• Titration of cardiac, vasoactive, and insulin drips
• Heparin protocols, thrombolytic agents, and blood product administration
• Procedural sedation monitoring, PCA management, and chest tube care
• Pre/post hemodialysis management and wound care/wound vac
• Seizure disorders, substance withdrawal, and traumatic brain injury care

Schedule & Coverage

• 4x12-hour night shifts; every other weekend required
• Float requirement: ICU or medical-surgical units
• Orientation: 24 hours

Requirements

• Active NY RN license in hand at time of submission — no exceptions
• Minimum 1 year of step-down or PCU experience; travel experience required
• Certifications: BLS, ACLS, and NIHSS (must be included in submittal)
• Electronic charting experience required
• Must reside more than 75 miles from the facility

Scrubs: Navy and white combination

Start Date: December 8, 2026