Registered Nurse Pcu

Job Summary:

The Registered Nurse (RN) in the Progressive Care Unit (PCU) provides specialized nursing care to patients requiring intermediate monitoring and treatment, including telemetry and intermediate care patients. The RN performs clinical assessments, medication administration, and treatment planning while managing complex patient care such as cardiac monitoring, respiratory support, and vascular access devices. The role demands strong collaboration with interdisciplinary teams and adherence to critical care protocols to ensure patient safety and recovery.

• Provide skilled nursing care to patients in telemetry and intermediate care units.
• Perform patient assessments, monitor vital signs, and interpret telemetry data.
• Administer medications including antiarrhythmics and amiodarone as prescribed.
• Manage respiratory treatments such as BiPAP, CPAP, breathing treatments, and oxygen therapy.
• Perform cardiac procedures including cardioversion, defibrillation, and obtain 12 lead EKGs.
• Care for patients with advanced vascular access devices including PICC lines, central lines, port-a-caths, and triple lumen catheters.
• Operate and monitor epidural pumps, feeding tubes, PCA pumps, syringe pumps, and wound vac devices.
• Apply supportive therapies such as cooling and warming blankets.
• Collaborate with interdisciplinary team members to develop and implement individualized care plans.
• Maintain accurate and timely documentation of patient care and clinical observations.
• Ensure compliance with hospital policies, safety standards, and infection control protocols.

• Active Registered Nurse license valid in the state of practice (compact license accepted).
• Minimum of 2 years RN experience, preferably in telemetry, IMCU, or progressive care settings.
• Current ACLS (Advanced Cardiovascular Life Support) certification.
• Current BLS (Basic Life Support) certification.
• Certification in NIHSS (National Institutes of Health Stroke Scale) preferred.
• Demonstrated proficiency in adult, geriatric, cardiac, renal, respiratory failure, and GI patient care.
• Strong clinical assessment, medication administration, and treatment planning skills.
• Ability to manage complex patient care with multiple devices and therapies.

• Experience with CIWA (Clinical Institute Withdrawal Assessment) protocols.
• Previous experience in mixed telemetry and intermediate care units.
• Comfort with managing post-cardiac catheterization patients.
• Experience with vascular device access and care.

• Must be skilled in IMCU level nursing for PCU assignments.
• Patient ratios: 1:3 for IMCU patients and 1:4 for telemetry patients.
• May float between telemetry, IMCU, and CDU units as needed.
• Compliance with Providence health system policies including separation requirements for previous employees.

• Shift assignments may include day, evening, or night shifts based on unit needs.
• Shift patterns determined by staffing requirements with potential for floating between units.
• Travel positions require flexibility and adherence to contract duration and scheduling protocols.