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

Assignment Overview

• Shift: Nights, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: Sep 14, 2026
• Length: 18 weeks
• Openings: 1

Description

American Traveler is hiring a night-shift RN for a Progressive Care/Stepdown Unit requiring 2+ years of experience and an IA or compact RN license.

Details

• Stepdown/PCU unit in an acute care hospital setting at a Level 3 trauma facility
• 22-bed unit with a 1:4 nurse-to-patient ratio
• Common diagnoses include heart failure, Afib, respiratory distress, and stroke
• RNs are required to titrate drips such as Cardizem, amiodarone, and nitro
• Charge nurse is present each shift and carries a full patient assignment
• Nurse aides/patient care techs are on the unit at a 1:10 ratio
• RNs troubleshoot CPAP equipment as needed
• RNs must independently read and interpret telemetry strips
• 12-hour night shifts (0630-1900 or 1830-0700) with cyclic scheduling
• Every other weekend required
• Holiday coverage required for 1 major and 1 minor holiday
• May float to ICU if experience is appropriate
• Uses Epic EMR
• 18-week assignment with 36 guaranteed hours per week

Requirements

• Active IA or compact RN license required
• Minimum 2 years of RN experience required
• BLS, ACLS, and NIHSS certifications required
• Stepdown/PCU or acute care experience required
• Ability to titrate cardiac drips and interpret telemetry strips required
• Driver's license required for consideration
• Must reside at least 50 miles from the facility
• Candidates may not have been directly employed (full time, part time, or PRN) by any CommonSpirit-affiliated facility, including CHI or Dignity, within the past year

Additional Information

• Fast-paced unit with frequent admissions and discharges
• Success in this role favors a positive attitude, teamwork, and a patient-focused approach
• Unit-specific orientation includes one 12-hour shift
• Orientation includes a pass/fail open-book skills exam requiring a 90% score to continue in the assignment
• Artificial fingernails are prohibited in all patient care areas; refusal to remove them may result in contract termination
• RTO must be requested upfront, and additional RTO will not be approved after submission