Progressive Care (Stepdown) Registered Nurse
Kearney, Nebraska
CHI Health Good Samaritan

PCU RN Position - Nebraska (Kearney)

Job Details

• Specialty: Progressive Care Unit (PCU) Registered Nurse
• Location: Kearney, Nebraska
• Contract Length: 13 weeks
• Shift: 12-hour shifts (Day: 06:30-18:30, Night: 18:30-06:30)
• Hours Guaranteed: 36 hours per week
• Weekend Requirement: Every other weekend
• Holiday Requirement: Minimum of 2 holidays during contract
• Floating: Required to float to MedSurg or ICU for PCU acuity patients

Unit Information

• Department: PCU
• Beds: 40 beds (average daily census 24)
• Nurse-to-Patient Ratio: 1:4-5 (days and nights)
• Nurse Aids/Patient Care Techs: Yes, ratio 1:12
• Charge Nurse: Present on each shift and takes patient assignments
• Patient Population: Adults with cardiac med/surg, dialysis, cancer, vascular issues, sepsis, respiratory conditions, stroke, post stent/pacer placement, renal failure
• Common Procedures: RNs required to titrate drips (Heparin, Nitro, Dopamine, Cardizem, Amiodarone, insulin)
• Respiratory Therapy Equipment: High flow oxygen; RNs troubleshoot but do not manage vents, CPAP, BiPAP
• Telemetry: RNs must read and interpret their own telemetry strips

Requirements & Qualifications

• Experience: Minimum 2 years of unit experience
• Certifications: BLS, ACLS, NIHSS required
• Competencies: Must be competent in managing arterial lines
• Orientation: 1 day of unit-specific orientation
• Exam: Pass/fail open book exam during orientation; 90% required to pass
• Dress Code: Navy blue scrubs
• Additional Policies:

  • Artificial nails prohibited in patient care areas
  • Driver’s license required to verify candidate location within 50-mile radius
  • No full-time, part-time, or PRN employment with certain affiliated facilities allowed
  • Blocked scheduling generally not approved except for weekends
  • No duo assignments sharing care or schedules

Work Environment & Culture

• Focus on patient experience, responsiveness, communication about medications, and hospital environment
• Use of overhead lifts, portable lifts, vein finders, bladder scanners
• Diverse patient population, primarily Hispanic and Somalian
• Successful nurses are team players, flexible, adaptable, and have strong communication skills

Additional Notes

• Return to Office (RTO) required within 7 days of contract start; no additional RTO approved after submission