Full employer posting
Nights, 3x12hrs Hours: 36 hrs/wk Start Date: Dec 8, 2026 Length: 13 weeks Openings: 1 Description American Traveler is hiring an experienced Stepdown/PCU RN for a night shift position requiring an active CA RN license and 2 years of high-acuity PCU/Stepdown experience. Details Stepdown/DOU unit (PCU/IMC/Telemetry) with primarily Med Surg patients but possible float to Tele Night shift schedule, 3x12 hours (19:00-7:30) Every other weekend required, or more depending on department needs (6 weekend days per schedule period, Sunday night not considered a weekend) Nurse to patient ratio of 1:3 in DOU and 1:5 in ARU Mandatory floating to ARU and DOU within scope of practice 13-week assignment length Requirements Active CA RN license required Current
ACLS, BLS, NIHSS, and PALS Minimum 2 years of high-acuity PCU/Stepdown experience required (hardstop) Prior travel RN experience required Experience with any EMR/charting system required Skilled in cardiac monitoring, dysrhythmia management and interpretation, and use of Rapid Response/Code teams Experience with pacemakers, post cardiac angiogram, post MI, pre/post cardiac cath, pre/post cardiac surgery, TR Band, and TAVR Proficient in IV insulin protocols, insulin drip titration, and feeding tube care/management Skilled in CBI, pre/post hemodialysis management, port access/management, and blood product administration Experience with central, peripheral, and PICC line care/management Proficient in starting and maintaining IVs, Heparin protocols, and cardiac drip management Experience with procedural sedation administration/monitoring and thrombolytic agents Skilled in managing neurological conditions including CVA, intracranial bleeds, lumbar drains, pre/post neurosurgery, and seizure disorders Experience with surgical drain management and non-invasive airway management Knowledge of isolation precautions and PPE use Additional Information Provide high-acuity nursing care to Stepdown/PCU/Telemetry patients, including cardiac, neurological, and post-surgical populations Collaborate with Rapid Response and Code teams as needed Travel pairs accepted, though matching schedules are not guaranteed Former permanent employees must have been separated from the facility for at least 365 days before returning as a traveler RTO must be submitted upfront at time of consideration, with no exceptions