Progressive Care Unit RN
Rochester, NY
Access Healthcare
4x12 hrs, Nights

Registered Nurse - MedSurg Step-Down Unit (MSDU)

Location: Rochester, New York
Employment Type: Travel/Contract
Contract Length: 13 weeks

Job Summary

Provide nursing care in a 26-bed Intermediate Care Unit (IMCU), a critical care step-down unit for adult acute care patients requiring specialized monitoring and interventions beyond a general medical-surgical unit. Patients may come from Emergency, PACU, ICU, and med-surg floors. Care includes continuous pulse-oximetry and telemetry monitoring, airway management, acute BIPAP support, arterial and central lines, and titrated IV infusions.

Shift Details

• Shift: 4x12 hour nights (7:00 PM - 7:00 AM)
• Weekend: Every other weekend
• Patient Ratio: 1:5 to 1:7

Required Experience & Qualifications

• Valid RN license in New York
• Minimum 1 year of MedSurg/Step-Down (MSDU) or Progressive Care Unit (PCU) nursing experience within the last year
• Associate of Science in Nursing / Associate Degree in Nursing
• BLS certification issued by the American Heart Association
• ACLS certification issued by the American Heart Association
• PALS certification issued by the American Heart Association
• NRP certification
• TNCC certification
• EFM certification
• Experience with EPIC charting system
• Tech Cert Verification - National
• Orientation Safety Manual Acknowledgement
• State License 1 Verification
• NURSYS Verification (RN, LPN/LVN, AP)

Clinical Skills & Responsibilities

• Cardiac monitoring and emergency response: interpret and manage dysrhythmias, participate in Rapid Response/Code teams
• IV therapy and phlebotomy: peripheral line care and management
• Respiratory care: nasal cannula, oxygen face masks, portable oxygen tanks, non-invasive airway management
• Adherence to isolation precautions and infection control protocols

Certifications (as required by unit)

• BLS (Basic Life Support)
• ACLS (Advanced Cardiac Life Support)
• PALS, NRP, TNCC, EFM as applicable
• State license primary source verification within 30 days of start
• Other certifications per unit requirements

Compliance & Documentation Requirements

• Government-issued photo ID
• 7-year criminal background check (felony checks) within 3 months of start
• Education verification and transcript if needed
• Drug screening within 30 days of start
• Physical exam within 1 year of start, updated annually
• Fit mask test within 1 year, updated annually
• Negative TB test or chest X-ray within 1 year
• Immunizations or titers for Measles, Mumps, Rubella, Hepatitis B, Varicella
• Flu vaccination or signed declination during flu season
• Snellen eye exam within 1 year
• COVID vaccination copy preferred but not required
• References and employment verification as required

Additional Notes

• First-time travelers accepted
• Local candidates must live within a 75-mile radius
• Facility is a tertiary care hospital with 528 staffed beds
• Scrub color: any combination of navy and white

This position requires adaptability, vigilance, and compassionate care within a multidisciplinary team environment.