PCU Stepdown RN
Council Bluffs, IA
American Traveler
3x12 hrs, Nights

Assignment Overview

• Shift: Nights, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: Aug 3, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is hiring a travel RN for a Progressive Care Unit (PCU/Stepdown) position requiring at least 2 years of experience, active ACLS, BLS, and NIHSS certifications, and night shift availability.

Details

• Acute care stepdown/PCU unit in a Level 3 trauma facility
• 22-bed unit with a 1:4 nurse-to-patient ratio and 1:10 nurse aide-to-patient ratio
• Common patient diagnoses include heart failure, atrial fibrillation, respiratory distress, and stroke
• RNs are required to titrate drips including Cardizem, amiodarone, and nitroglycerin
• RNs must independently read and interpret telemetry strips
• CPAP management is performed on the unit
• Charting is done in Epic (experience required)
• 12-hour night shifts; available shifts are 6:30 PM–7:00 AM and 6:30 PM–7:00 AM (cyclic scheduling)
• Every other weekend required
• One major and one minor holiday coverage required
• May float to ICU if appropriate experience is present
• 13-week contract

Requirements

• Active IA RN license or Compact (NLC) RN license — must be active at time of consideration; pending licenses not accepted
• Active certifications required: BLS, ACLS, and NIHSS — pending certifications not accepted
• Minimum 2 years of RN experience required
• Experience in a stepdown, PCU, or progressive care setting required
• Epic EMR experience required
• Driver's license required for consideration (used to verify 50-mile radius eligibility)
• Two professional references required: one supervisor from within the last 12 months, and one peer or supervisor from within the last 3 years — both must include dates of employment and eligibility for rehire
• Candidates must reside at least 50 miles from the facility

Additional Information

• Nurses are responsible for titrating common cardiac drips and independently interpreting telemetry strips
• On-unit orientation consists of one 12-hour shift
• A pass/fail, open-book skills exam is administered during orientation — a minimum score of 90% is required to continue the contract
• Fast-paced unit with high volume of admissions and discharges; successful candidates bring a positive attitude, strong teamwork skills, and a patient-centered approach
• Artificial nails are prohibited in all patient care areas; refusal to remove them may result to contract termination
• Candidates who have been directly employed (full-time, part-time, or PRN) by any CommonSpirit, CHI, or Dignity facility within the past year are not eligible; candidates who worked PRN through outside firms will be considered
• All requested time off must be submitted upfront — additional RTO will not be approved after consideration