Registered Nurse Pcu

Job Summary:

The Registered Nurse in the Progressive Care Unit (PCU) provides specialized nursing care for adult and geriatric patients with complex medical conditions including respiratory failure, cardiac, renal, and gastrointestinal issues. This role involves patient assessment, medication administration, advanced cardiac monitoring, and collaboration with interdisciplinary teams to ensure high-quality patient care. The nurse must be skilled in managing telemetry and intermediate care patients, performing critical procedures, and responding to emergencies with expertise in ACLS and BLS protocols. A minimum of two years of relevant experience and required certifications are essential.

• Provide nursing care to Telemetry and Intermediate Care Unit (IMCU) patients with a patient ratio of 1:4 for Tele and 1:3 for IMCU.
• Perform patient assessments and monitor vital signs including 12 Lead EKG acquisition and interpretation.
• Administer medications including Amiodarone, antiarrhythmics, and antiseizure drugs following protocols.
• Manage advanced respiratory therapies such as BiPAP, CPAP, breathing treatments, and general respiratory failure interventions.
• Operate and monitor medical devices including epidural pumps, feeding tubes, fistulas, PCA pumps, PICC lines, central lines, Port-A-Cath, syringe pumps, triple lumen catheters, and wound vacs.
• Perform cardioversion, defibrillation, and use cooling/warming blankets as needed.
• Collaborate with interdisciplinary teams for patient care planning and case management.
• Maintain accurate documentation and communicate patient status changes promptly.
• Float between IMCU, Telemetry, and CDU as assigned.

• Active Registered Nurse license valid in the state of practice; compact license accepted.
• Minimum 2 years of clinical nursing experience in telemetry, IMCU, or progressive care settings.
• Certifications: ACLS, BLS, NIHSS.
• Proficiency in adult and geriatric patient care, cardiac monitoring, and respiratory failure management.
• Strong clinical assessment and medication administration skills.
• Ability to manage complex vascular access devices and advanced cardiac life support procedures.

• Experience with cardiac cath pre/post care.
• Familiarity with CIWA protocols and mixed telemetry care.
• Knowledge of renal, GI, and neurological patient care.

• Must be IMU level RN qualified for this PCU role.
• May float between units including IMCU, Telemetry, and CDU.
• Staffing ratios strictly maintained: 1:4 for Telemetry and 1:3 for IMCU patients.
• Previous employees of Providence-affiliated facilities must have a minimum 3-month separation to qualify for travel positions.

• Shifts assigned based on unit needs; may include day, evening, or night shifts.
• Flexible floating between multiple floors and units as required.