Job Title
Registered Nurse (RN) – IMC / PCU / Stepdown
Location
Grand Island, NE
Schedule / Job Type
Contract | Night Shift | Onsite | Shifts: 6:30 AM–7:00 PM / 6:30 PM–7:00 AM | Every other weekend required | Holidays as needed to meet unit needs
Key Responsibilities
- Provide direct patient care in a 33-bed Stepdown/PCU unit serving a diverse patient population including young adults through geriatrics with diagnoses such as sepsis, STEMI, CHF, stroke, COPD, DKA, renal failure, and complex multisystem conditions
- Titrate drips including Heparin, Amiodarone, Cardizem, Nitroglycerin, IV antibiotics, and Insulin; administer and manage maintenance IV medications
- Read and interpret telemetry strips independently using unit monitoring equipment
- Manage high-acuity patient flow including admissions and discharges within the same shift, maintaining a nurse-to-patient ratio of 1:4–5
- Collaborate with CNAs, charge nurses, and interdisciplinary team members; may float to MedSurg, Inpatient Rehab, or Skilled Care as needed
- Participate in bedside report, hourly rounding, and commitment to a positive patient experience
Required Qualifications
- Active Registered Nurse (RN) license
- Current BLS certification
- Current ACLS certification
- Current NIHSS certification
- Valid driver's license (required at time of submittal)
- Ability to pass a unit-specific open-book skills exam with a score of 90% or higher during orientation week
Preferred Experience / Skills
- Prior experience in a Stepdown, PCU, or IMC setting with exposure to high-acuity and complex medical patients
- Experience managing and titrating vasoactive or cardiac drips in a monitored unit
- Familiarity with BiPAP and Airvo respiratory therapy equipment
- Strong teamwork orientation with a positive, adaptable attitude in a fast-paced environment
Why Join Us
- Work in a dynamic, team-oriented Stepdown unit with structured orientation including classroom training and supervised floor shifts to set you up for success
- Be part of an evolving unit transitioning to a virtual nursing model, designed to enhance support resources and improve the overall care environment for both nurses and patients