Job info

RN Step Down PCU-Nights

Location: Anderson, Indiana
Shift: 18:00 - 06:30
Employment type: LTA
Contract length: 13 weeks
Specialty: RN Step Down

Role Overview

The Step-Down Unit/Progressive Care/Med/Tele (SDU/PCU) Registered Nurse provides specialized nursing care to patients who need close monitoring and frequent assessment but do not meet criteria for intensive care. The role requires critical thinking, clinical judgment, and the ability to manage complex patient conditions in a fast-paced environment. The RN may float to other med/surg units.

Key Responsibilities

Provide direct care for medically complex patients who need telemetry, frequent monitoring, and specialized interventions.
Perform comprehensive respiratory, cardiovascular, neurological, and hemodynamic assessments.
Monitor and interpret cardiac rhythms, vital signs, and lab results, and notify providers of changes in condition.
Administer medications safely, including IV medications, per physician orders and hospital policy.
Manage patients with telemetry monitoring, IV drips (such as cardiac, vasoactive, or insulin infusions where applicable), central lines, PICC lines, oxygen therapy, high-flow oxygen, and CPAP/BiPAP (as appropriate per unit policy).
Implement and evaluate individualized care plans and collaborate with physicians, respiratory therapy, physical therapy, case management, and other disciplines.
Educate patients and families on diagnosis, treatment, medications, and discharge instructions.
Document assessments, interventions, and responses in the electronic medical record (EMR).
Recognize early signs of deterioration and activate rapid response or escalate care as needed.
Follow infection prevention protocols, fall precautions, and patient safety standards.

Required Qualifications

Valid RN license in Indiana
Stepdown experience of at least 2 years, with stepdown experience within the last year
BLS certification issued by the American Heart Association
ACLS certification issued by the American Heart Association
NIHSS certification
Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
Driver's license

Onboarding and Submission Requirements

Required for submission:

Resume and profile
At least two professional references, completed before first assignment
Skills checklist (clinical only), completed within one year of start and updated annually
Nursys verification and license/certificate verification

Required on board:

Pharmacology 1 or 2 exam, minimum 80% score, two attempts maximum, updated every 3 years
Medical Surgical exam, minimum 80% score, two attempts maximum, updated every 3 years
EKG exam, minimum 80% passing score, two attempts maximum, updated every 3 years; the latest edition is required, and the graded exam must show the score and e-signature
Core competencies (HIPAA, Joint Commission, NPSG, OSHA topics), minimum 80% or national benchmark, two attempts maximum, updated every 3 years
Color vision test, updated every 3 years
Onboarding education attestation and nursing contract worker onboarding (completed onsite)
Badge photo: forward-facing headshot on a white or blue background, no alterations or filters
Driver's license or state ID: unexpired, matching the address on file, front and back shown; for compact license placements outside the home state, the address must match the home state
Health statement or physical exam before first assignment, updated annually
Current immunization and TB documentation: MMR (two doses or positive IgG titer, no declinations), Hepatitis B series or signed declination, varicella immunity (two doses, serology, or provider-verified history, no declinations), Tdap within 10 years (no declinations or attestations), and a 2-step PPD or negative IGRA within required timeframes with an annual TB questionnaire
Influenza vaccine or exemption/declination; if declined, a mask must be worn at all times. The flu season runs October 1, 2026 through March 31, 2027.
Fit test, required for all travelers and updated annually; WI and MI require 3M 1860 Regular, 3M 1860 Small, or 3M 1870+ respirators, and PAPR fit tests are not completed onsite
Drug screen: 12-panel (an 11-panel is also listed), completed within 30 days before the first assignment and updated annually
Criminal background check, SSN trace, OIG search, National Sex Offender search, EPLS, and education verification, all completed within required timeframes
Confirmation of assignment on agency letterhead, provided at initial assignment and each extension
Employment verification covering the past seven years, updated every year