Travel Nurse RN - PCU - Progressive Care Unit
Richmond, VA
First Connect Health
3x12 hrs, Nights
Referral Bonus

🔥 36-HOUR NIGHT-SHIFT LIVER TRANSPLANT PROGRESSIVE CARE / STEPDOWN (PCU) RN CONTRACT – RICHMOND, VA

An immediate 13-week travel contract opening is available for an experienced Progressive Care Unit (PCU) / Intermediate Care (IMC) Registered Nurse (RN) in Richmond, Virginia (City of Richmond). Operating within an advanced 24-bed Comprehensive Liver Care and Transplant Intermediate Care Unit at a premier academic medical center and verified Level I Trauma Center, this specialty assignment features a balanced 36-hour overnight schedule (19:00 PM – 07:00 AM / 7:00 PM – 7:00 AM, three 12-hour shifts guaranteed weekly). COMPETITIVE 36-HOUR NIGHT PACKAGE ($2,320/WEEK)! $1,600/WK TAX-FREE HOUSING & MEAL STIPENDS! FAVORABLE 1:3 NURSE-TO-PATIENT RATIOS! ZERO MANDATORY ON-CALL! ACADEMIC LEVEL I TRAUMA & COMPREHENSIVE ORGAN TRANSPLANT EXPOSURE! LOCALS ACCEPTED AT EXACT SAME BASE RATE (NO RADIUS RESTRICTION)! EPIC EHR! LATE NOVEMBER START! The specialized transplant hepatology nursing team provides intensive intermediate care, pre- and post-operative surgical management, complex fluid/electrolyte titration, and continuous clinical surveillance for end-stage liver disease, acute liver failure, pre-transplant workups, and post-operative liver transplant recoveries. If you are an acute intermediate care or stepdown nurse skilled in telemetry monitoring, IV insulin protocols, surgical drain care, central lines, and complex post-op surgical recovery looking to earn $2,320/week on nights in Virginia, this assignment is built for you!

💰 PRE-CALCULATED PAY PACKAGE (36-Hour Week)

• Weekly Gross: $2,320.00
• Weekly Tax-Free Stipend: $1,600.00
• Hourly W2 Regular Rate: $20.00/hr (36 regular hours)
• Hourly W2 Overtime Rate: $30.00/hr
• (Local clinicians accepted at the exact same base rate; no mileage radius restrictions).

📅 SHIFT & POSITION DETAILS

• Schedule: Night shifts, 3x12-Hours (19:00 PM – 07:00 AM / 7:00 PM – 7:00 AM).
• Guaranteed Hours: 36 hours guaranteed weekly.
• Assignment Duration: 13 Weeks (Start Date: November 23, 2026).
• On-Call Requirements: NO ON-CALL REQUIRED!
• Weekend & Holiday Coverage: Every other weekend rotation (or equivalent departmental schedule); standard rotational holiday coverage.
• Department Setting & Capacity: 24-bed Comprehensive Liver Care Unit - Intermediate Care (Dept: DUP Comprehensive Liver Care Unit-Intermediate Care / CC101151); average daily census of 24 patients.
• Nurse-to-Patient Staffing Ratios: Tight, high-acuity 1:3 ratio across all shifts (Days, Nights, Weekends).
• Interdisciplinary Support: Robust round-the-clock hospital support from IV Teams, Phlebotomy, Respiratory Services, Physical Therapy, Rapid Response Teams, Pharmacy, Radiology, Social Services, and Unit Secretarial staff.
• Floating Scope: Floats as operationally required within clinical progressive care/intermediate nursing scope.
• Clinical Scope & Specialty Care:
  • Direct intermediate progressive care for adult and geriatric patients with end-stage liver disease (ESLD), acute hepatic failure, cirrhosis, portal hypertension, and transplant hepatology.
  • Comprehensive pre- and post-operative care for orthotopic liver transplantation and complex hepatobiliary surgical procedures.
  • Surgical wound care, negative pressure wound therapy (Wound VAC), and surgical drain management (JP drains, Blake drains, biliary T-tubes).
  • Continuous cardiac telemetry surveillance, dysrhythmia interpretation, and prompt emergency notification.
  • Vascular access management: accessing and caring for implanted ports, central venous lines, PICCs, peripheral IV initiation, and phlebotomy.
  • Administration and monitoring of blood products, continuous IV insulin protocols with hourly blood glucose titration, and managing non-titrated cardiac continuous infusions.
  • Respiratory support: high-flow nasal cannula (HFNC), BiPAP/CPAP surveillance, tracheostomy care, chest tube drainage systems (Pleur-evac/Emerson), and arterial blood gas (ABG) interpretation.
  • Monitoring for acute hepatic complications: hepatic encephalopathy, variceal bleeding, ascites/paracentesis care, and hepatorenal syndrome.
  • Enteral feeding tube management, strict intake/output tracking, and fluid balance management.
• EMR System: Epic electronic health record strictly required.

🚨 REQUISITE QUALIFICATIONS FOR SUBMISSION

• Experience Requirement: Minimum 2 years of dedicated acute care inpatient Stepdown / PCU / Intermediate Care RN clinical experience with Level I Trauma Center experience strictly required.
• Travel Nursing History: Prior travel nursing experience required (first-time travelers considered if they possess strong dedicated post-op surgical experience).
• Licensure: Active Virginia Registered Nurse (RN) License or Compact/NLC Multistate License strictly in hand at submittal (with active Nursys report).
• Certifications Required at Submittal:
  • Basic Life Support (BLS) — American Heart Association (AHA) only.
• Education & Credentials: BSN degree preferred; Epic charting proficiency required.
• Infection Control & Hygiene: Facility enforces a strict natural nail policy (no artificial nails, tips, acrylics, or gel overlays).

✨ APPLICATION PROCESS Avoid administrative processing delays on broad public job boards. Apply directly to this posting to lock in your file with our specialized intermediate care recruitment team. We guarantee 100% upfront financial transparency, immediate credential checklist mapping, and prioritized clinical review!