PCU / Stepdown RN
Grand Island, NE
Concentric Healthcare Staffing
3x12 hrs, Nights

Candidates residing within 50–100 miles of the facility may be subject to a reduced rate or may not be accepted.

Applicants must have worked in this unit or setting within the past year to be considered for this position.

Job Title

Registered Nurse (RN) – IMC/PCU/Stepdown

Location

Grand Island, NE | Stepdown/PCU

Schedule / Job Type

Contract | Night Shift | Onsite | Every other weekend required | Holidays as needed

Key Responsibilities

• Provide direct patient care in a 33-bed Stepdown/PCU unit serving a diverse population including young adults through geriatrics with diagnoses such as sepsis, STEMI, CHF, stroke, COPD, DKA, renal failure, and complex multisystem conditions
• Titrate drips including Heparin, Amiodarone, Cardizem, Nitroglycerin, Insulin, and IV antibiotics, as well as administer maintenance IV medications
• Monitor and interpret telemetry strips independently; unit utilizes telemetry/monitor support but RNs are required to read and interpret their own strips
• Manage BiPAP and Airvo respiratory therapy equipment as needed
• Maintain a nurse-to-patient ratio of 1:4–5, with CNA support at a 1:10 ratio; float to MedSurg, Inpatient Rehab, or Skilled Care as needed
• Participate in bedside report, hourly rounding, and a high-volume patient flow environment involving admissions and discharges within the same shift

Required Qualifications

• Active RN license in good standing
• Required certifications: BLS, ACLS, and NIHSS
• Must successfully pass an open-book skills exam during orientation with a minimum score of 90%
• Artificial nails are prohibited in all patient care areas; compliance is required for contract continuation
• Must reside at least 50 miles from the facility to be eligible; a valid driver's license will be required at time of submittal to verify distance
• Candidates may not be currently employed (full-time, part-time, or PRN) at any facility associated with CommonSpirit, including CHI and/or Dignity Health

Preferred Experience / Skills

• Prior experience in a Stepdown, PCU, or IMC setting with exposure to complex, acutely ill patients
• Demonstrated ability to titrate vasoactive and cardiac drips in a fast-paced environment
• Strong teamwork orientation with a positive, patient-centered attitude and commitment to quality care
• Experience with telemetry interpretation and familiarity with BiPAP/high-flow respiratory support

Why Join Us

• Work in a dynamic, collaborative unit with structured orientation including classroom training and supervised floor shifts to set you up for success
• Be part of an evolving unit transitioning to a virtual nursing model designed to enhance support resources and improve the care team experience