Stepdown/PCU Registered Nurse
Springfield, IL
Prime Staffing
4x12 hrs, Nights

Stepdown / PCU Registered Nurse — Nights

Position: Stepdown / PCU RN
Shift: Nights — 3x12s (1845–0715); option for 4x12s if preferred
Schedule: Every other weekend required
Employment Type: Travel / Contract
Setting: Acute Care Hospital — Level I Trauma, Magnet Facility

Position Summary

The Stepdown/PCU Registered Nurse provides high-acuity, progressive care to adult patients requiring continuous monitoring and advanced nursing interventions. The RN delivers comprehensive bedside care, performs cardiac and neurological monitoring, manages complex drips and lines, and responds to rapid patient condition changes. Candidates must demonstrate strong telemetry, cardiac, and neuro stepdown competency.

Minimum Requirements

• Minimum 1 year Stepdown/PCU/Telemetry experience
• First-time travelers: Not accepted
• Active Illinois RN license required at time of submission
• BLS and NIHSS required
• ACLS preferred
• Cerner experience preferred
• Teaching hospital and Level I Trauma experience preferred

Scheduling & Contract Details

• Floating: Required within scope to meet facility needs
• Block scheduling: May be discussed with manager
• On-call: Not required
• Locals: Accepted (no radius restriction)
• Pending license: Not accepted
• RTO: Ideally no more than 5 days
• Guaranteed Hours: Facility may call off up to 36 hours per 13-week assignment without pay penalty

Required Clinical Experience

Work Settings

• Telemetry
• Neuro Stepdown
• PCU / DOU / IMC / Stepdown units

Cardiac Monitoring & Emergency Response

• Dysrhythmia interpretation and management
• Continuous telemetry monitoring
• Rapid Response Team activation and participation

Cardiovascular Care

• Post cardiac angiogram and post-MI care
• Pre/post cardiac cath and cardiac surgery
• Sheath removal and TR Band management

Neurological Care

• CVA and TIA management
• Pre/post neurosurgery care
• Craniotomy patients
• Spinal cord and traumatic brain injury

Respiratory Care

• Ventilated patients
• CPAP/BiPAP and HFNC
• Chest tubes (Emerson / Pleur-evac)
• ABG interpretation
• Tracheostomy management
• Non-invasive airway support

IV & Line Management

• Central lines and PICC lines
• Arterial lines
• Port access
• Peripheral IV insertion
• Blood product administration
• Phlebotomy

Medication & Drip Management

• Heparin protocols
• Cardiac and vasoactive drips (including titration)
• PCA pumps
• Procedural sedation administration

Additional Clinical Skills

• Feeding tube management
• Renal failure and pre/post hemodialysis care
• Wound care and wound vacs
• Isolation precautions
• Surgical drains and skin graft care
• Ortho trauma and joint replacement recovery

Facility Details

• Type: Acute Care Hospital
• Trauma Level: Level I
• Magnet Status: Yes
• Staffed Beds: 562
• Charting System: Cerner
• Scrub Color: Any solid color
• Parking: Permit required, no cost (completed at orientation)