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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