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Shift: Nights, 4x12hrs
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Hours: 48 hrs/wk
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Start Date: Aug 19, 2026
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Length: 13 weeks
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Openings: 1
American Traveler is seeking an experienced RN for a Stepdown/PCU position requiring frequent floating to ICU and MedSurg units and a valid SC or compact RN license.
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Stepdown/PCU unit within a 21-bed hospital setting that frequently floats to ICU and MedSurg units
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Patient ratios are Stepdown 1:4-5, ICU 1:2, and MedSurg 1:5-6
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Night shift schedule, 4x12 hours from 19:00-7:00
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Every other weekend (EOW) required
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Floating required across Stepdown, ICU, and MedSurg units
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Weekly orientation held every Wednesday
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Uses Meditech EMR
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Cares for patients on non-titrating drips including Amiodarone, NTG, Cardizem, Lopressor, and Cardene
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Manages vascular cases including fem-pop and CEA procedures
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Cares for NSTEMI patients and those status post cardiac catheterization with intervention
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Manages CIWA patients receiving IVP Ativan
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Provides care for peritoneal dialysis and hemodialysis patients (HD performed in Dialysis Dept)
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Manages stable BiPAP, heated high-flow oxygen under 80%, and home ventilators (Trilogy)
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Performs wound care and nebulizer treatments
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Valid SC RN license (Standard or Compact) required at time of consideration
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Current certifications: BLS, ACLS, and NIHSS
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Minimum 2 years of PCU, Stepdown, or ICU experience required
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ICU experience required due to frequent floating to ICU unit
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Meditech charting experience preferred but not required
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Must be comfortable managing central lines, PICC lines, and peripheral IV therapy
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Experience with BiPAP/CPAP management, chest tubes, tracheostomy care, and high-flow nasal cannula
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Skilled in cardiac drip titration, dysrhythmia interpretation, and cardiac monitoring
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Experience with wound care/wound vac and pacemaker management preferred
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Community hospital experience preferred
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Must be comfortable floating frequently between Stepdown, ICU, and MedSurg units
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Must live outside a 50-mile radius of the facility to qualify for travel rate, with no exceptions for local candidates
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Scrubs must be royal blue and white
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Holiday and weekend coverage expected in rotation with staff
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Minimal to no RTO approved, especially during the first weeks of the assignment
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Previous employees must have been gone at least 1 year and in good standing at time of departure to be considered
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First-time travelers are not preferred for this role
