Travel

PCU / Stepdown

Council Bluffs, IA

Stepdown RN – 12-Hour Nights | Council Bluffs, IA

Contract: 13 weeks | Guaranteed Hours: 36/week | Start Date: December 7, 2026

About the Unit

This fast-paced Stepdown/PCU unit manages a high volume of admissions and discharges, caring for patients with heart failure, atrial fibrillation, respiratory distress, and stroke. RNs are expected to independently read and interpret telemetry strips. Patient care techs provide support on the unit.

Shift & Schedule

  • 12-hour nights: 1830–0700
  • Cyclic scheduling; every other weekend required
  • One major and one minor holiday required

Clinical Expectations

  • Titration of drips including Cardizem, amiodarone, and nitroglycerin
  • CPAP management and troubleshooting
  • Floating to ICU may be required based on experience
  • Orientation: one 12-hour shift in the department

Required Certifications

  • BLS, ACLS, NIHSS

Additional Requirements

  • Candidates must pass an open-book skills exam during orientation with a minimum score of 90%
  • Artificial nails are prohibited in all patient care areas
  • Valid driver's license required at submittal
  • All RTO must be submitted upfront; no additional RTO will be approved post-submission
  • Candidates must not be currently employed (full-time, part-time, or PRN) at any CommonSpirit-affiliated facility, including CHI or Dignity, within the past year; 50-mile radius restriction applies

Ideal Candidate

A team-oriented nurse with a positive attitude, strong patient focus, and comfort in a high-acuity, high-throughput environment.