Stepdown Progressive Care Unit Registered Nurse
Grand Island, Nebraska
CHI Health Saint Francis

PCU RN Position – Grand Island, Nebraska

Job Overview

• Position: PCU RN (Progressive Care Unit Registered Nurse)
• Location: Grand Island, Nebraska
• Contract Length: 13 weeks
• Hours: 36 hours guaranteed per week
• Shift Times: 0630-1900 (day), 1830-0700 (night)
• Weekend Requirement: Every other weekend
• Holiday Requirement: As needed to meet unit needs
• Floating: May float to MedSurg, Inpatient Rehab, or Skilled Care units

Unit Details

• Department: Stepdown (Progressive Care Unit)
• Number of Beds: 33
• Nurse-to-Patient Ratio: 1:4-5
• CNAs: 1:10 ratio, availability fluctuates with census
• Charge Nurse: Present on each shift and takes patient assignments
• Tele/Monitor Techs: Present; RNs must read and interpret cardiac strips
• Respiratory Equipment: BiPAP, Airvo

Patient Population & Common Diagnoses

• Age Range: Young adults through geriatrics
• Common Conditions: Sepsis, STEMI, CHF, chest pain, COVID, stroke, renal failure, COPD, DKA, multisystem failure

Clinical Responsibilities

• Drip Titration: Required
• Common Drips: Heparin, Amiodarone, Cardizem, Nitroglycerin, IV antibiotics, Insulin, maintenance IV meds (non-titratable)
• Orientation: One week classroom training plus two 12-hour shifts on the floor
• Exam: Pass/fail open book exam during orientation; 90% required to pass

Certifications & Requirements

• Required Certifications: BLS, ACLS, NIHSS
• Driver’s License: Required at submission to verify candidate is within 50-mile radius
• Radius Rule: Candidates must live within 50 miles and cannot be currently employed full-time, part-time, or PRN with any facility associated with CommonSpirit (including CHI and Dignity)
• Fingernail Policy: Artificial nails prohibited; refusal to remove will result in contract termination

Work Environment & Culture

• Dress Code: Navy blue scrubs for RNs
• Workload: Busy patient flow with simultaneous admissions, discharges, and shift change within a 6-hour window
• Desired Attributes: Strong teamwork, friendly and positive attitude, engagement in patient experience, commitment to bedside report and hourly rounding

Additional Notes

• Return to Office (RTO) required within 7 days of contract start; no additional RTO approvals
• Unit schedulers assign traveler schedules; no self-scheduling or block scheduling