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

Stepdown / PCU Registered Nurse (RN) – Nights

Location: Acute Care Hospital – Level I Trauma Center (Magnet Facility)
Unit: Stepdown / PCU / Neuro Stepdown
Shift: 3x12 Nights (4x12s available if preferred)
Assignment Length: 13 Weeks

Position Overview

We are seeking an experienced Stepdown/PCU Registered Nurse (RN) to join a high-acuity acute care hospital and Level I Trauma Center. This Magnet-designated facility offers a collaborative, fast-paced environment where nurses provide comprehensive care to complex cardiac, neuro, and medical-surgical patients requiring advanced monitoring and interventions.

Schedule & Requirements

• Shift: Nights (3x12s; 4x12s available upon request)
• Weekend Requirement: Every other weekend
• On-Call: Not required
• Floating: Will float within scope to meet facility needs
• Block Scheduling: Discuss with manager
• Guaranteed Hours: Facility may call off up to 36 hours per 13-week assignment
• RTO: Ideally no more than 5 days
• License: Active Illinois RN license required at time of submission (no pending licenses)
• Local Candidates: Accepted (no radius restriction)

Experience & Certifications

• Minimum Experience: 1 year Stepdown/PCU experience required
• First-Time Travelers: Not accepted
• Required Certifications:
  • BLS (AHA)
  • NIH Stroke Scale
• Preferred Certifications:
  • ACLS

Required Clinical Experience

Cardiac Monitoring & Emergency Response

• Dysrhythmia interpretation and management
• Telemetry monitoring (on-unit)
• Rapid Response Team participation

Cardiovascular

• Post Cardiac Angiogram
• Post MI
• Pre/Post Cardiac Cath
• Pre/Post Cardiac Surgery
• Sheath Removal & TR Band management

Neurological

• CVA
• Craniotomy
• Traumatic Brain Injury (TBI)
• Spinal Cord Injury
• Pre/Post Neurosurgery

Respiratory

• Ventilator management
• Tracheostomy care
• Chest tubes (Emerson/Pleur-evac)
• CPAP/BiPAP
• HFNC
• ABG interpretation
• Non-invasive airway management

IV Therapy & Lines

• Central line care/management
• PICC management
• Arterial line management
• Accessing ports
• Peripheral IV insertion and management
• Blood product administration
• Phlebotomy

Medication Management

• Heparin protocols
• PCA management
• Procedural sedation administration
• Cardiac and vasoactive drips (titration required)

Additional Required Experience

• Pre/Post Hemodialysis
• Renal Failure
• Feeding tube management
• Ortho trauma & total joint replacements
• Peripheral nerve block catheters
• Skin grafts & surgical drains
• Isolation precautions
• Wound care / Wound Vac

Preferred Experience

• Cerner EMR
• Teaching hospital experience
• Level I Trauma experience

Facility Highlights

• Type: Acute Care Hospital
• Trauma Level: Level I Trauma Center
• Designation: Magnet Facility
• Total Beds: 562
• Charting System: Cerner
• Scrubs: Any solid color
• Parking: Permit required (no cost; completed during orientation)