PCU/Stepdown Nurse (RN) | Vaughn, Montana

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Job Details

Location Vaughn, MT
Discipline RN-Stepdown
Date Posted February 11, 2026

Job Description

Providing specialized care to hemodynamically stable or predictably unstable patients, this role focuses on delivering comprehensive support on a medical/surgical stepdown unit. The position involves managing a diverse patient population, including those recovering from cardiac procedures, respiratory conditions, renal failure, sepsis, and a broad range of surgical services. Critical nursing skills are utilized in monitoring patients with complex needs, such as those requiring arterial lines, chest tubes, continuous bladder irrigation, and short-term ventilation support.

Key Responsibilities:

  • Deliver direct nursing care to medical and surgical patients from admission to discharge, including discharge planning.
  • Operate advanced medical equipment and manage patients with central lines, multiple IVs, and ventilatory support.
  • Collaborate closely with multidisciplinary teams to ensure optimal patient outcomes.
  • Provide leadership and assist in precepting nursing staff.
  • Maintain professional standards while offering physical, emotional, spiritual, and cultural support to patients and families.
  • Assess and implement established protocols with minimal supervision.
  • Supervise and provide guidance to RNs, LPNs, CNAs, housekeeping, and dietary staff.

Qualifications and Experience:

  • Degree from an accredited Nursing Program.
  • Experience in a medical/surgical unit with recent exposure to Critical Care or Progressive Care nursing.
  • Current State RN licensure and BLS, ACLS, PALS certifications or ability to obtain within six months.
  • Preferred: EPNC and TNCC certifications.
  • Proficient in the use of multiple IV pumps, invasive monitoring devices, cardiac telemetry, and EKG interpretation.
  • Pediatric nursing experience is advantageous.

Location Overview: Situated in the heart of Vaughn, MT, this role offers the chance to work in a community that blends small-town charm with access to natural beauty. Vaughn provides a peaceful environment with opportunities for outdoor activities and a close-knit community atmosphere, ideal for healthcare professionals seeking both professional challenge and quality of life.

Contract Position Details: This is a contract opportunity ideal for nurses seeking flexibility while gaining valuable experience in a progressive care setting.

If you possess the nursing expertise and are equipped to provide high-quality care on a progressive care stepdown unit, apply now to take the next step in your healthcare career.

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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