Registered Nurse – PCU Stepdown

Location: Grand Island, NE
Contract Type: Travel
Duration: 13 weeks
Shift: 3×12 Days
Pay: $2,301.48/week
Completion Bonus: $2,500 per contract (up to $7,500 after three contracts)

Job Description

ATC Healthcare is seeking an experienced Progressive Care/Stepdown Registered Nurse (RN) for a busy 33-bed Stepdown unit. This unit cares for young adult through geriatric patients with complex and high-acuity medical conditions, including sepsis, STEMI, CHF, chest pain, COVID, stroke, renal failure, COPD, DKA, and multisystem failure.

This is a fast-paced environment with frequent admissions and discharges, requiring strong clinical judgment, excellent teamwork, and the ability to manage multiple priorities. RNs must be comfortable monitoring and interpreting cardiac rhythms and managing titratable drips. The schedule is created by unit schedulers, and floating may be required to Med Surg, Inpatient Rehab, or Skilled Care.

Key Responsibilities

• Provide high-quality nursing care to Stepdown/PCU patients with acute and complex medical needs.
• Manage patient ratios of 1:4–5 while prioritizing safety, timely interventions, and effective coordination of care.
• Monitor cardiac rhythms and interpret telemetry strips; respond promptly to changes in patient condition.
• Administer and titrate drips, including Heparin, Amiodarone, Cardizem, Nitroglycerin, Insulin, IV antibiotics, and maintenance IV medications.
• Manage respiratory support devices, including BiPAP and Airvo.
• Perform frequent assessments, initiate bedside report, conduct hourly rounding, and support a positive patient experience.
• Collaborate with CNAs (1:10 ratio), charge nurses, and the multidisciplinary care team.
• Document all patient care accurately in EPIC.
• Float as needed to Med Surg, Inpatient Rehab, or Skilled Care.
• Complete required orientation: first week classroom training + two 12-hour floor shifts.

Qualifications

• Active RN license (state or compact).
• Minimum 2 years of recent Stepdown, PCU, or similar acute-care experience.
• Required certifications: BLS, ACLS, NIHSS.
• Experience with titratable drips and cardiac monitoring required.
• Must be able to interpret cardiac strips independently.
• Previous experience with EPIC preferred.
• Must be comfortable working in a fast-paced environment with frequent admissions/discharges.
• Must meet radius rule and facility screening requirements.
• Proof of COVID-19 vaccination and recent tuberculosis test required.

Benefits

• Weekly pay with competitive rates
• Health, dental, and vision insurance
• 401(k) retirement plan with company match
• Referral bonuses for referring talented professionals into our network
• Flexible schedules and dedicated recruiter support

About ATC Healthcare

ATC Healthcare has been a leader in healthcare staffing for nearly 40 years, offering personalized placement and support to healthcare professionals nationwide. With over 60 locations, we are committed to connecting skilled nurses, therapists, and clinicians with rewarding career opportunities.

Other Duties: Please note this job summary is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the employee. Duties, responsibilities, and activities may vary by assignment and may change at any time with or without notice.

Equal Opportunity Employer: ATC Healthcare Services is an Equal Opportunity Employer. All applicants will be considered for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, veteran or disability status, or any other category protected by Federal, State, or local law.

ID: 1016105