PCU / Stepdown

PCU / Step-Down RN — Nights | Rochester, NY | 13-Week Contract

This intermediate care unit serves adult and geriatric patients who require a higher level of monitoring than a general medical-surgical floor. The unit has a strong pulmonary focus and receives patients from the emergency department, post-anesthesia care, the ICU, and general med-surg floors. All patients have continuous telemetry and pulse-oximetry monitoring.

Shift & Schedule

• 4x12-hour nights (7:00 PM – 7:00 AM)
• Every other weekend required
• 13-week contract | Start: December 2026

Clinical Scope

• Airway management including BiPAP/CPAP and high-flow nasal cannula
• Arterial line, central line, and PICC line management
• Titration of cardiac, vasoactive, and insulin drips
• Heparin and thrombolytic protocols
• Blood product administration; PCA monitoring
• Seizure disorders, substance withdrawal, traumatic brain injury, renal failure
• Tracheostomy care, chest tube management, wound care/wound vac
• Float to ICU or med-surg as needed

Requirements

• Active New York RN license in hand at time of submittal — no exceptions
• Minimum 1 year of step-down / PCU experience
• Certifications: BLS, ACLS, and NIHSS (must be included in submittal)
• Proficiency with electronic charting — required
• Candidates must reside more than 75 miles from the facility
• Travel experience preferred; first-time travelers considered
• No more than 10 days of pre-approved time off per contract

Scrub Color: Navy and white combination