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