Travel
PCU / Stepdown
Council Bluffs, IA
Stepdown / PCU RN — 12-Hour Nights | Council Bluffs, IA
Contract: 13 weeks | Start date: December 7, 2026 | Guaranteed hours: 36/week
Unit Overview
This fast-paced Stepdown/PCU unit manages a high volume of admissions and discharges. Common patient diagnoses include heart failure, atrial fibrillation, respiratory distress, and stroke. The unit operates with charge nurse coverage on every shift; note that the charge nurse carries a full patient assignment.
Shift & Scheduling
- 12-hour nights: 1830–0700
- Cyclic scheduling
- Every-other-weekend requirement
- One major and one minor holiday required
Clinical Responsibilities
- Titrate vasoactive and cardiac drips (Cardizem, amiodarone, nitroglycerin)
- Independently read and interpret telemetry strips
- Manage patients on CPAP; troubleshoot respiratory support equipment as needed
- Float to ICU if qualified and experienced
Required Certifications & Credentials
- Active RN license (required at submission)
- BLS, ACLS, NIHSS
- BSN required
Orientation
One 12-hour unit-specific orientation shift. Nurses complete an open-book skills exam during orientation and must score 90% or higher to continue the assignment.
Additional Requirements
- Candidates must reside more than 50 miles from the facility will be verified by driver's license at submission
- Must not have worked (full-time, part-time, or PRN) with any CommonSpirit, CHI, or Dignity-affiliated facility within the past year
- Artificial nails are prohibited in all patient care areas
- Request all PTO upfront; no additional RTO will be approved post-submission