Stepdown RN - PCU Nights
Anderson, IN
Access Healthcare
3x12 hrs, Nights

RN Step Down – PCU Nights

• Location: Anderson, Indiana
• Employment type: Long-term assignment (LTA)
• Contract length: 13 weeks
• Shift: 18:00 – 06:30

Role Overview

The Step-Down Unit/Progressive Care/Med/Tele (SDU/PCU) Registered Nurse provides specialized nursing care to patients who need close monitoring and frequent assessment but do not meet criteria for intensive care. The role requires strong critical thinking, clinical judgment, and the ability to manage complex patient conditions in a fast-paced environment.

Key Responsibilities

• Provide direct care for medically complex patients requiring telemetry, frequent monitoring, and specialized interventions.
• Perform comprehensive respiratory, cardiovascular, neurological, and hemodynamic assessments.
• Monitor and interpret cardiac rhythms, vital signs, and lab results; notify providers of changes.
• Administer medications safely, including IV medications, per physician orders and policy.
• Care for patients with IV drips (e.g., cardiac, vasoactive, or insulin infusions where applicable), central lines, PICC lines, and oxygen therapy (including high-flow oxygen and CPAP/BiPAP per unit policy).
• Create 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 responses in the electronic medical record.
• Recognize early signs of deterioration and activate rapid response or escalate care.
• Adhere to infection prevention protocols, fall precautions, and patient safety standards.
• Float scope: May float to other med/surg units.

Required Qualifications

• Valid RN license in Indiana
• Stepdown experience (2 years)
• Stepdown experience within the last year
• BLS certification issued by the American Heart Association
• ACLS certification issued by the American Heart Association
• NIHSS certification
• Associate of Science in Nursing (ASN) / Associate Degree in Nursing (ADN)
• Valid driver's license

Onboarding Requirements

Health and immunizations

• Health statement or physical exam before the first assignment, updated annually
• Proof of two MMR vaccines or a positive IgG titer (no declinations)
• Hepatitis B vaccine series or signed declination
• Varicella immunity proof or two-dose series (no declinations)
• Tdap, valid 10 years (no declinations or attestations)
• Influenza vaccine or exemption/declination (mask required at all times during flu season, October 1, 2026 – March 31, 2027)
• 2-step PPD or IGRA (QuantiFERON/T-Spot), with TB questionnaire updated annually; a positive result requires chest X-ray proof within the last year
• Color vision test, updated every 3 years
• Drug screen within 30 days before the first assignment, updated annually (the source lists both 11-panel and 12-panel versions; confirm with the agency)
• Respirator fit test required for all travelers; preferably before start, can be done onsite. PAPR cannot be done onsite. WI and MI require 3M 1860 Regular, 3M 1860 Small, or 3M 1870+.

Credentials and verification

• Valid, unexpired driver's license or state ID showing front and back, with an address matching the file
• Criminal background check (SSN trace, county search, national criminal, OFAC, and VSOP) within 90 days of the first assignment, updated yearly
• EPLS check within 90 days of start
• Education verification within 90 days of start (diplomas not accepted)
• Employment verification for the past seven years, updated yearly
• Confirmation of assignment on agency letterhead, updated with each extension
• Signed onboarding education attestation and on-site nursing contract worker onboarding
• Badge photo: forward-facing headshot with a white or blue background, no filters

Optional Items

• Signed assignment agreement
• Legal name change document, if applicable
• Unit-specific checklist (optional for onboarding; the unit leader uploads it within one week)
• Hiring manager evaluation after the assignment