Registered Nurse Pcu

Job Summary:

The Registered Nurse in the Progressive Care Unit (PCU) provides specialized nursing care to patients with mixed acuity including medical-surgical telemetry and stepdown patients. The role requires expertise in telemetry monitoring, dysrhythmia management, IV therapies, and post-operative care. The nurse collaborates with interdisciplinary teams to deliver safe, effective, and compassionate care while managing complex patient conditions and utilizing advanced clinical skills. Experience in PCU/IMC within the last 3 years is mandatory.

• Provide skilled nursing care to PCU, medical-surgical telemetry, and stepdown patients.
• Monitor and interpret cardiac dysrhythmias and manage related treatments.
• Administer medications including IV insulin, blood products, thrombolytic agents, and cardiac drips following protocols.
• Manage central lines, PICC lines, peripheral IVs, and perform phlebotomy.
• Care for patients with feeding tubes, continuous bladder irrigation, chest tubes, tracheostomies, and wound vacs.
• Perform respiratory support including non-invasive airway management, CPAP/BIPAP, and high flow nasal cannula.
• Provide care for patients with renal failure, substance withdrawal, seizures, stroke, trauma, and post-surgical needs.
• Collaborate with the interdisciplinary team to develop and implement patient care plans.
• Utilize EPIC, Pyxis, and SBAR for medication administration, documentation, and communication.
• Participate in unit orientation and ongoing training to maintain competencies.
• Float to sister units including West 2, West 3, and Observation units as needed.

• Minimum 1 year of recent PCU/IMC experience within the last 3 years.
• Current Registered Nurse license.
• ACLS and BLS certification.
• Proficient in telemetry, dysrhythmia interpretation and management.
• Experience with IV insulin protocols, blood product administration, central line and PICC line care.
• Competent in respiratory therapies including CPAP/BIPAP and tracheostomy management.
• Familiarity with EPIC, Pyxis, and SBAR systems.
• Ability to manage multiple patient diagnoses including cardiac, surgical, trauma, and neurological conditions.

• PALS certification.
• Experience or certification in TCAR (TransCarotid Artery Revascularization).

• Must be willing and able to float to sister units.
• Travelers must have PCU/IMC experience within the last 3 years.
• Patient ratios vary by shift and acuity (1:3-5 days/weekends; 1:3-7 nights).
• Unit includes mixed acuity patients with occasional rare pediatric cases (travelers not assigned unless experienced).
• 12-hour unit orientation required.
• Weekend coverage required every other weekend.

• 12-hour shifts with day, night, and weekend rotations.
• Ratios adjusted based on patient acuity.
• Return to office (RTO) required for a maximum of 7 days.