Progressive Care Unit Registered Nurse
Grand Island, NE
American Traveler
3x12 hrs, Days

Assignment Overview

• Shift: Days, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: May 11, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is seeking an experienced RN for a Progressive Care Unit (PCU/Stepdown) position requiring at least 2 years of experience, ACLS/BLS/NIHSS certifications, and the ability to titrate drips in an acute care setting.

Details

• Acute care stepdown/PCU unit in a hospital setting
• 33-bed unit serving a diverse patient population including young adults through geriatrics with diagnoses such as sepsis, STEMI, CHF, chest pain, stroke, renal failure, COPD, DKA, and complex multisystem failure
• Nurse-to-patient ratio of 1:4-5; CNAs available at approximately 1:10 ratio (varies with census)
• RNs are required to titrate drips including Heparin, Amiodarone, Cardizem, Nitroglycerin, IV antibiotics, and Insulin
• Respiratory therapy equipment in use includes BiPAP and Airvo
• Telemetry monitor techs are present on the unit; RNs are required to independently read and interpret their own telemetry strips
• EMR system: Epic
• 12-hour day shifts; shift times are 0630–1900 (days) and 1830–0700 (nights)
• Every other weekend required
• Holiday coverage required based on unit needs
• Travelers may be floated to MedSurg, Inpatient Rehab, or Skilled Care
• 13-week contract

Requirements

• Active NE or Compact (NLC) RN license — must be active at time of consideration; pending licenses are not accepted
• Current certifications required: BLS, ACLS, and NIHSS — pending certifications are not accepted
• Minimum 2 years of RN experience required
• Stepdown or PCU experience required
• Experience titrating cardiac and vasoactive drips required
• Epic EMR experience
• A valid driver's license is required for consideration and will be used to verify residence address
• Two professional references required: one supervisor from within the last 12 months and one peer or supervisor from within the last 3 years, both including dates of employment and eligibility for rehire
• Candidates must reside more than 50 miles from the facility to be eligible for this position

Additional Information

• Nurses are responsible for admitting and discharging patients within the same shift, often within a 6-hour window — strong time management and adaptability are essential
• A charge nurse is present on each shift and carries an assignment
• Scrub color: Navy Blue for RNs
• Orientation consists of one week of classroom training followed by two 12-hour shifts on the floor
• A pass/fail open-book skills exam is administered on the first Friday of orientation — a score of 90% or higher is required to pass
• Artificial nails are prohibited in all patient care departments; refusal to comply may result to contract termination
• Successful candidates are described as team-oriented, positive, and committed to bedside report and hourly rounding
• RTO must be requested upfront and is limited to 7 or fewer days per 13-week contract; additional RTO will not be approved after the consideration process
• Candidates who are currently or have been directly employed (full-time, part-time, or PRN) by any CommonSpirit-affiliated facility — including CHI and/or Dignity — within the past year are not eligible; candidates employed PRN through outside staffing firms will be considered