Step-Down/Progressive Care RN
Anderson, IN
Access Healthcare
3x12 hrs, Nights

Registered Nurse (Step Down Unit)

Location: Anderson, Indiana
Employment Type: Long-Term Assignment (13 weeks)
Shift: 6:00 PM – 6:30 AM

Job Summary

Provide specialized nursing care to medically complex patients in a Step-Down/Progressive Care/Med-Surg Telemetry unit. Care involves close monitoring, frequent assessments, and managing patients who require telemetry and specialized interventions but do not meet ICU criteria. Collaborate with a multidisciplinary team to deliver safe, high-quality, patient-centered care in a fast-paced environment.

Key Responsibilities

• Deliver direct patient care for patients requiring telemetry, frequent monitoring, and specialized interventions.
• Perform comprehensive assessments (respiratory, cardiovascular, neurological, hemodynamic).
• Monitor and interpret cardiac rhythms, vital signs, and lab results; notify providers of changes.
• Administer medications safely, including IV medications per orders and policy.
• Manage care for patients with telemetry monitoring, IV drips (cardiac, vasoactive, insulin infusions), central/PICC lines, oxygen therapy, and CPAP/BiPAP as appropriate.
• Implement and evaluate individualized care plans.
• Collaborate with physicians, respiratory therapy, physical therapy, case management, and other disciplines.
• Educate patients and families on diagnosis, treatment, medications, and discharge instructions.
• Document assessments, interventions, and patient responses accurately in the EMR.
• Recognize early signs of patient deterioration and escalate care or activate rapid response as needed.
• Adhere to infection prevention, fall precautions, and patient safety standards.
• May float to other medical/surgical units as needed.

Required Qualifications

• Valid Registered Nurse (RN) license in Indiana
• Minimum of 1 year of recent experience in Progressive Care Unit (PCU)
• Basic Life Support (BLS) certification issued by the American Heart Association
• Advanced Cardiovascular Life Support (ACLS) certification issued by the American Heart Association
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)