PCU/Stepdown Nurse (RN) | Hendersonville, North Carolina

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Job Details

Location Hendersonville, NC
Discipline RN-Stepdown
Date Posted March 16, 2026

Job Description

Step into a highly specialized nursing role focused on critical care within a dedicated Stepdown unit in Hendersonville, NC. This opportunity offers a challenging and rewarding experience caring for patients requiring intensive monitoring and advanced nursing interventions in a dynamic hospital environment.

The unit features 10 beds designated for ICU and PCU overflow, with a patient-to-nurse ratio of 2:1 in the ICU and 4-5:1 in the PCU. Staff support is lean, with no unit secretaries or patient care techs, creating an empowering environment for skilled nurses to demonstrate autonomy and clinical expertise. Equipment utilized includes lifts, ventilators, targeted temperature management systems, and IV pumps, with documentation carried out on Cerner.

Key Responsibilities:

  • Manage complex patient care with a focus on hemodynamic monitoring and ventilator management
  • Administer and monitor advanced critical care pharmacology such as IV sedation, paralytics, and vasopressors
  • Perform central line management and assist providers with bedside procedures including chest tube insertions and intubations
  • Conduct bedside shift reports and participate in nurse leader rounding as a relief charge nurse
  • Adapt to floating assignments across various units as needed

Qualifications/Desired Experience:

  • Registered Nurse with current BLS and ACLS certifications
  • Proven experience in a Medical ICU setting within a large facility
  • Proficient in advanced hemodynamic monitoring and ventilator management
  • Strong critical thinking skills, flexibility, and excellent teamwork abilities
  • Comfortable with patient acuity requiring IV sedation, paralytics, and vasopressor therapies

Schedule:

  • 12-hour shifts
  • Every other weekend required
  • Holiday support expected

This contract position offers a fast-paced environment utilizing cutting-edge technology to deliver exceptional patient care. The unit maintains a culture of clinical excellence, supported by experienced staff and continued innovations in patient management.

About Hendersonville, NC:
Located near the scenic Blue Ridge Mountains, Hendersonville combines small-town charm with easy access to urban amenities. Known for its vibrant arts scene, historic downtown, and outdoor recreational opportunities, it offers a welcoming community and a great quality of life for healthcare professionals seeking both career growth and lifestyle balance.

Transform your nursing career with a role that challenges your skills while providing the support and resources to succeed. Apply today to take your next step in critical care nursing.

Sunbelt is an equal opportunity employer. We consider applicants for all positions without discrimination on the basis of race, color, religion, sex, national origin, age, marital or veteran status, disability, or any other legally protected status. No question on the website is used for the purpose of limiting or excluding any applicant’s consideration for employment on any basis prohibited by local, state, or federal law.

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