RN - PCU

Registered Nurse - Progressive Care Unit (PCU)

Facility: Johnson City Medical Center

Location: 400 N State of Franklin Rd, Johnson City, TN 37604, United States

Start Date: 03/15/2026

Duration: 13 Weeks

Shift: Night, 3x12 or 4x12 (6:30 PM - 7:00 AM)

Schedule: Choice of 36/36 or 36/48 ; every other weekend required

Charting System: EPIC

Float Required: Yes (PCU/Stepdown; may float to MS with 1:7 ratios)


Position Overview


The Registered Nurse (PCU) provides safe, competent, and evidence-based nursing care to adult patients requiring intermediate-level monitoring and treatment. The nurse functions within a Progressive Care/Stepdown environment, collaborates with interdisciplinary teams, and supports high-quality patient outcomes in accordance with hospital policies and regulatory standards.


Key Responsibilities

• Deliver patient-centered care using the nursing process and evidence-based practice
• Perform comprehensive patient assessments and continuous cardiac and telemetry monitoring
• Interpret cardiac rhythms and respond appropriately to clinical changes and emergencies
• Manage and titrate cardiac and vasoactive drips as clinically indicated
• Provide care for post-cardiac procedures including angiograms, cardiac catheterizations, and post-MI patients
• Collaborate with interdisciplinary teams to develop, implement, and evaluate plans of care
• Educate patients and families on disease processes, treatments, and discharge planning
• Utilize Rapid Response and Code Teams appropriately during patient deterioration
• Maintain accurate and timely documentation in the EPIC electronic medical record
• Adhere to infection control, isolation precautions, and patient safety standards
• Support nursing students and participate in clinical education as required

Required Qualifications

• Licensure: Active RN license (license in hand required at submission)
• Experience:
  
  
  • Minimum 2 years of recent RN experience
  • PCU/Stepdown or cardiovascular experience required
  • First-time travelers accepted
• Certifications:
  
  
  • BLS (AHA)
  • ACLS (AHA)
  • NIHSS
• Other Requirements:
  
  
  • EPIC experience preferred
  • Must reside greater than 100 miles from facility service area
  • Ability to float and accept increased ratios when assigned to MS units

Unit Details

• Unit Type: PCU / Stepdown
• Patient Population: Adult
• Patient Ratios:
  
  
  • Days: 1:5
  • Nights: 1:5
  • Weekends: 1:5
• Number of Beds: 37
• Average Daily Census: 37

Clinical Skills & Competencies

• Cardiac telemetry (on-unit and remote monitoring)
• Interpretation and management of dysrhythmias
• Cardiac and vasoactive drip management
• Post-cardiac angiogram and catheterization care
• IV therapy, central line care, PICC management, and blood product administration
• Respiratory support including BiPAP/CPAP, HFNC, and oxygen delivery systems
• Chest tube management (Emerson/PleurEvac)
• Insulin drip titration and endocrine management
• Isolation precautions and PPE compliance