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Job Description Job Description Progressive Care Unit (PCU) / Stepdown Registered Nurse (RN) Position Summary: The PCU/Stepdown RN provides specialized nursing care to patients who are more critical than those in a general medical-surgical unit but not unstable enough to require intensive care. These nurses monitor patients closely, respond to changes in condition, and deliver advanced interventions as part of the recovery process from acute illness or surgery. Key Responsibilities: Provide continuous monitoring and advanced nursing care for patients with complex, often unstable conditions Administer medications, blood products, and titrated drips (e.g., insulin, cardiac medications, electrolytes) Monitor telemetry and cardiac rhythms, recognizing early signs of deterioration Perform frequent assessments and manage patients requiring high-flow oxygen, non-invasive ventilation (e.g., BiPAP/CPAP), or chest tubes Respond to rapid changes in patient status and escalate care appropriately Collaborate with interdisciplinary teams to develop, implement, and evaluate care plans Educate patients and families regarding diagnoses, treatment plans, and post-discharge care Document patient care accurately and timely using EMR systems Follow evidence-based practices and hospital protocols for infection control and patient safety Requirements: Active RN license in Iowa or compact BLS and ACLS certifications required Telemetry certification preferred 1-2 years of experience in telemetry, PCU, ICU, or med-surg preferred Proficiency in interpreting ECG strips and managing moderately complex drips Strong clinical judgment, time management, and communication skills Common Patient Types: Post-cardiac procedures (e.g., stents, pacemakers) Respiratory distress (COPD, pneumonia, post-COVID recovery) Stroke or neuro recovery Sepsis and infection management Post-surgical patients requiring close monitoring Cardiac arrhythmias, CHF exacerbations PCU/Stepdown RNs bridge the gap between med-surg and critical care, ensuring high-acuity patients receive timely, skilled interventions. HC