Registered Nurse IMC/PCU/Stepdown
Location: San Antonio, TX
Profession: Registered Nurse
Posted: 10/15/2026
Salary: $1638/weekly
Weekly Hours: 36
Shift: Nights
Job Details
Job Title
Registered Nurse – Surgical PCU / Stepdown (Night Shift) | 13-Week Contract
Location
San Antonio, TX | Acute Care
Schedule / Job Type
Contract | Nights | 7:00 PM – 7:00 AM | Rotating Weekends | 13 Weeks | Onsite
Key Responsibilities
- Provide direct patient care on a 32-bed Surgical PCU, managing a patient ratio of 1:4 (occasionally 1:5)
- Operate and monitor equipment including kangaroo pumps, PCAs, chest tubes, ostomies, PEG tubes, NG tubes, and Foley catheters
- Perform and assist with post-operative care for procedures including tracheostomy, laryngectomy, bowel resections, lobectomies, thoracoscopies, mastectomies, thyroidectomy, and related surgeries
- Manage routine care for JP drains, biliary drains, abdominal/chest tube drains, TPN, and tube feeds, including telemetry monitoring
- Collaborate with interdisciplinary teams and maintain strict documentation compliance including admission and shift documentation
- May float to MedSurg, MedSurg PCU, or ED holds as needed
Required Qualifications
- Active RN licensure (or compact equivalent) in the state of Texas
- Minimum 2 years of RN experience
- BLS certification required
- ACLS / ALS certification required
- Proficiency with Meditech EMR
- Strong time management and critical thinking skills
Preferred Experience / Skills
- Prior PCU experience strongly preferred
- Tracheostomy care experience preferred
- Team-oriented, positive attitude, and adaptable to a fast-paced surgical environment
Why Join Us
- Opportunity to work in a high-acuity Surgical PCU within a nationally recognized medical center serving a diverse patient population
- Collaborative, interdisciplinary care environment with a focus on patient communication, safety, and infection prevention
Apply Now
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