RN PCU-Nights

Step-Down Unit/Progressive Care/Med/Tele (SDU/PCU) Registered Nurse

The Step-Down Unit/Progressive Care/Med/Tele (SDU/PCU) Registered Nurse provides specialized nursing care to patients who require close monitoring and frequent assessment but do not meet criteria for intensive care. The SDU/PCU RN is responsible for delivering safe, high-quality, patient-centered care in collaboration with a multidisciplinary healthcare team. This role requires strong critical thinking skills, clinical judgment, and the ability to manage complex patient conditions in a fast-paced environment.

Key Responsibilities Include But Are Not Limited To:

• Provide direct patient care for medically complex patients requiring telemetry, frequent monitoring, and specialized interventions.
• Perform comprehensive assessments, including respiratory, cardiovascular, neurological, and hemodynamic status.
• Monitor and interpret cardiac rhythms, vital signs, and laboratory results; notify providers of changes in patient condition.
• Administer medications safely, including IV medications, per physician orders and hospital policy.
• Manage and care for patients with devices such as: telemetry monitoring IV drips (e.g., cardiac, vasoactive, or insulin infusions where applicable) central lines, PICC lines oxygen therapy, high-flow oxygen, CPAP/BiPAP (as appropriate per unit policy).
• Implement and evaluate individualized patient care plans.
• Collaborate with physicians, respiratory therapy, physical therapy, case management, and other disciplines to optimize patient outcomes.
• Educate patients and families regarding diagnosis, treatment plan, medications, and discharge instructions.
• Accurately document assessments, interventions, and patient responses in the electronic medical record (EMR).
• Recognize early signs of patient deterioration and activate rapid response or escalate care as needed.
• Adhere to infection prevention protocols, fall precautions, and patient safety standards.
• May float to other med/surg units.
• 26 bed unit serving a wide variety of patients which include: cardiac, neuro/stroke, dialysis (outside contracted company), post-operative patients, respiratory, general medical surgical overflow.