RN - Step Down

Job Opportunity

We are seeking a dedicated nursing professional to join a dynamic healthcare team. The unit is a Surgical Progress Care Unit (PCU) located on the 5th floor of a major medical facility. Our commitment to high-quality, patient-focused care drives everything we do. You will work alongside a skilled team in an environment that promotes interdisciplinary collaboration and exceptional patient care.

Unit Information

• Number of Beds: 32
• Staffing:
  • Day Shift: 1 Charge Nurse, 2-3 Patient Care Technicians (PCTs), 7-8 Registered Nurses (RNs)
  • Night Shift: 1 Charge Nurse, 2-3 PCTs, 7 RNs
• Patient Ratios: 1:4, sometimes 1:5
• Type of Equipment: Walkers, Kangaroo pumps, Patient Controlled Analgesia (PCA), chest tubes, ostomies, PEG tubes, NG tubes, Foley catheters
• EHR System: Meditech

Qualifications

Mandatory Skills

• Strong time management skills
• Critical thinking abilities

Preferred Skills

• Experience in a Progressive Care Unit (PCU)
• Experience with tracheostomy care

Typical Procedures

• Airways: Tracheostomy and Laryngectomy
• Bowel: Small bowel resection, lower anterior resection, ileostomy or colostomy placement and reversal, fistula repairs, hernia repairs, Nissen fundoplications
• Pulmonary: Bronchoscopy, lobectomies, thoracoscopic procedures, wedge resections, chest tube placement
• Oncology: Mastectomies, modified radical neck dissections, thyroidectomy
• Routine care: JP drains, biliary drains, abdominal or chest tube drains, total parenteral nutrition (TPN), tube feeds
• Telemetry monitoring

Work Environment

Our ideal candidate should be a:

• Team player
• Positive and adaptable individual

Required Certifications

• Basic Life Support (BLS)
• Advanced Cardiovascular Life Support (ACLS)

Floating Areas

Responsibilities may include floating to Medical-Surgical units and Emergency Department holds.

Dress Code

Scrub Color: Navy Blue

Unit Guidelines

Compliance with time and attendance is essential. Shifts start promptly at 0645 and 1845. Collaborative care with interdisciplinary teams is a focus, including morning huddles. Emphasis on hygiene, oral care, and patient activity is maintained, alongside infection prevention protocols for C. diff, CAUTIs, CLABSIs, and SSIs. Adherence to colorectal care order sets, as well as admission and shift documentation compliance, is critical.

Availability

We are looking to fill 1 position on this unit, with rotating weekend shifts, and there is no on-call requirement.