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

PCU RN Position - Grand Island, Nebraska

Job Details

• Specialty: Progressive Care Unit (PCU) Registered Nurse
• Contract Length: 13 weeks
• Shift Hours:

  • Day Shift: 06:30 AM – 07:00 PM
  • Night Shift: 06:30 PM – 07:00 AM
• Guaranteed Hours: 36 hours per week
• 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 Information

• Department: Stepdown Unit
• Number of Beds: 33
• Nurse-to-Patient Ratio: 1:4-5
• Patient Population: Young adults through geriatrics with conditions such as sepsis, STEMI, CHF, chest pain, COVID, stroke, renal failure, COPD, DKA, and complex multisystem failure
• Charge Nurse: Present on each shift and takes an assignment
• Nurse Aids/Patient Care Techs: CNAs available with a 1:10 ratio; availability fluctuates based on census
• Respiratory Therapy Equipment: BiPAP, Airvo
• Telemetry: Tele/Monitor techs present; RNs required to read and interpret cardiac strips

Clinical Responsibilities

• RNs are required to titrate drips including:

  • Heparin
  • Amiodarone
  • Cardizem
  • Nitroglycerin
  • IV antibiotics
  • Insulin
• Maintenance doses of IV medications (non-titratable) also administered

Orientation & Training

• Orientation includes one week of classroom training followed by two 12-hour shifts on the floor
• RN skills exam during orientation (open book, must pass with 90% or higher to continue)

Requirements & Policies

• Experience: Minimum 1 year of unit experience required
• Certifications Required: 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 are prohibited in all patient care areas; refusal to comply will result in contract termination
• Return to Office (RTO): Required within 7 days of contract start; no additional RTO approvals

Work Environment & Culture

• Busy patient flow with simultaneous admissions, discharges, and shift changes within a 6-hour window
• Successful nurses demonstrate strong teamwork, a friendly and positive attitude, engagement in patient experience, commitment to bedside report, and hourly rounding
• Dress Code: Navy blue scrubs for RNs

This position offers a challenging and dynamic environment for experienced PCU nurses who thrive in fast-paced settings and are committed to high-quality patient care.