PCU Registered Nurse
Bangor, ME
GHR Healthcare - PH Division
3x12 hrs

Registered Nurse - Intermediate Care Unit

Location: Bangor, Maine
Contract Length: 13 weeks (approximately 3 months)
Unit Type: Intermediate Care Unit (PCU)
Level of Care: Level II Trauma Center

Job Summary

Seeking an experienced Registered Nurse for an Intermediate Care Unit with a focus on trauma, neuro, medical/surgical, and cardiac patient care. This role requires managing complex patients including trauma and stroke cases, respiratory illnesses, cardiac events, and post-operative care.

Patient Types

• Trauma Level II patients
• Neuro: strokes, stable craniotomies, CIWA, seizure precautions
• Medical/Surgical: respiratory illnesses (COVID, flu, pneumonia), long-term trachs with vents, respiratory failure requiring Bipap or high flow O2, COPD exacerbations, post-op general surgery, sepsis, IV drug abuse complications, thyroid storm
• Cardiac: STEMI, NSTEMI, CHF, AFIB with RVR, post cardiac cath and ablation, 24-hour post-op TAVR

Patient Ratios

• RN: 1:3-4 (days and nights)
• Tech: 1:6-12 (days and nights, dependent on staffing)

Required Experience

• Minimum 1 year of Intermediate/PCU level of care experience
• If only Med/Surg experience with some PCU, minimum 2 years required
• Prior travel experience required: Must have completed at least two 13-week travel assignments

Required Certifications

• BLS
• ACLS
• NIH Stroke Scale (NIHSS)
• AACCN and CCRN preferred

Required Skills & Clinical Competencies

• Trauma experience including care of stroke patients and performing neuro checks every 2 hours
• Medical/Surgical skills: high flow O2, chest tubes, wound vac/VAC dressing changes, Bipap, drain/ostomy care, IV starts, trach care and suctioning (RT support provided)
• Cardiac skills: temporary pacemakers, TR bands, post femoral sheath care, cardiac rhythm interpretation
• Experience with drips: cardiac drips (Amiodarone, Cardizem), insulin titration (travelers without insulin/cardiac drip experience will be declined)

Support on Unit

• CNA support (ratio 1:6-12)
• Charge nurse (may have patients if needed)
• Phlebotomy
• Resource nurse (24/7 ICU trained)
• Respiratory therapy (24/7)
• Hospitalist (24/7)
• Trauma surgery team monitors own patients
• PT/OT available Monday-Friday
• IV/VAT team for ultrasound-guided IVs and PICC/Midline placement (RNs start their own PIVs)

Equipment & Charting

• Cerner electronic health record system (highly preferred)
• Alaris IV pumps
• Pyxis medication dispensing system
• GE monitors

Floating Assignments

May float to Emergency Department, ICU, or CCU if intermediate care assignments are available in those departments.

Orientation

• General hospital orientation followed by 1 day on the unit

Scheduling

• Shifts: 0700-1930 or 1900-0730
• Weekend rotation every other weekend
• May be placed on low census callback
• Time off requests approved through manager
• Holiday work varies based on unit needs

Additional Notes

• Scrub color: any professional color
• Free parking in designated areas

Required Licensure

• Current RN license valid in Maine

Summary

This position is ideal for an experienced RN with strong Intermediate Care Unit skills, trauma and neuro experience, and prior travel assignments. The role demands clinical proficiency in complex patient care, critical thinking, and the ability to work in a fast-paced trauma center environment.