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Registered Nurse Progressive Care Unit
Company : Prime Healthcare Services
Location : Mesquite, TX, 75149
Job Type : Full Time
Date Posted : 13 January 2026
Overview
We are seeking a Progressive Care Registered Nurse or PCU RN, internally referred to as our Progressive Care Nurse. In the Progressive Care Unit (PCU), the PCU RN or Step-Down RN will provide specialized care to patients with acute and/or chronic medical conditions who require close monitoring, intervention, and support to optimize their outcomes and facilitate their transition to lower levels of care.
Bonus Options: up to $10,000
Shift’s Available: Nights
Employment Type: Full Time
Hours: 12hr 7p-7a
Location: Dallas Regional Medical Center – Mesquite, TX
Here are some of the benefits of working at Prime Healthcare:
- Health, dental, and vision insurance options
- Paid vacation, sick time and holidays
- Bereavement leave, FMLA and other leave options
- Employer 401K options
- Tuition reimbursement options
- Life, disability, and other insurance options
- Many other amazing benefits
Full benefits at Prime Healthcare: https://www.primehealthcare.com/careers/benefits/
Responsibilities
Essential Duties and Responsibilities (includes, but not limited to):
- Conduct assessments of patients' conditions, including vital signs, cardiac rhythms, neurological status, respiratory status, and overall clinical stability, you will need to monitor changes in patients' conditions and respond promptly to any deterioration
- Utilize telemetry and other monitoring devices to continuously monitor patients' cardiac rhythms, oxygen saturation levels, blood pressure, and other parameters you must be able to recognize and interpret abnormalities in monitoring data
- Administer medications as directed by physicians, encompassing intravenous medications, antibiotics, pain management medications, and cardiac medications, while vigilantly monitoring patients for any adverse reactions or side effects
- Perform nursing interventions and treatments as ordered by physicians, such as wound care, catheter care, suctioning, and administration of oxygen therapy, which may include assisting with procedures
- Adhere to evidence-based practice guidelines, hospital policies, and protocols related to patient care, infection control, and safety
Qualifications
Before we go any further, we do have some deal-breakers. You must have:
- Current and valid state RN License.
- Current BLS (AHA) certificate upon hire and maintain current.
- Current ACLS certificate 30 days upon hire and maintain current.
Additional Required Knowledge, Skills & Abilities:
- Minimum of one year as a staff RN in acute care hospital, critical care preferred.
Additional Qualifications That Are a Plus:
- Completion of Critical Care Course preferred.
- Critical Care RN (CCRN) Certification preferred.
- Bachelor of Science in Nursing (BSN) preferred.
Employment Status
Full TimeShift
NightsEqual Employment Opportunity
We are an Equal Opportunity Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation, or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf
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Frequently asked questions
Registered Nurses in Progressive Care Units handle patients needing close cardiac and respiratory monitoring, bridging critical and general care. Unlike typical floor nursing, PCU RNs require rapid assessment skills and proficiency with telemetry equipment, making this role more specialized in managing acute yet stable conditions.
Beyond a valid RN license, certifications like ACLS and BLS are crucial. Nurses with critical care courses or CCRN certification often excel, given the need to interpret cardiac rhythms and respond swiftly to clinical changes, especially in step-down units like the PCU.
Progressive Care Unit nurses can progress to critical care specializations or leadership roles within acute care facilities. Given Mesquite’s growing healthcare demand, opportunities also arise in education or case management, leveraging experience with complex patient monitoring and interventions.
Prime Healthcare Services offers comprehensive benefits including health coverage, tuition reimbursement, and 401(k) plans. Their commitment to nurse well-being is reflected in paid leave policies and professional development opportunities tailored for PCU RNs navigating demanding night shifts.
Night shifts in PCUs require heightened vigilance due to reduced staffing and patient acuity variations. Prime Healthcare addresses this by providing robust support systems and ensuring nurses have access to required training, helping maintain quality care during the 7p-7a 12-hour shifts.
Registered Nurses specializing in Progressive Care Units in Mesquite can typically expect salaries between $65,000 and $85,000 annually. Factors such as experience, certifications like CCRN, and shift differentials for night work influence earning potential in this market.
While Texas broadly offers robust demand for PCU travel nurses, Mesquite’s local full-time RN roles often provide more stability and benefits. Travel nursing may yield higher hourly rates but lacks the continuity and community integration that local positions at facilities like Prime Healthcare offer.
In addition to state RN licensure, Mesquite employers highly value ACLS and BLS certification, with an emphasis on telemetry monitoring expertise. Familiarity with evidence-based acute care protocols and experience in night shift nursing also improves a candidate’s appeal locally.
PCU nurses on night shifts perform continuous cardiac monitoring, medication administration including IV therapies, and frequent patient assessments. They must swiftly identify clinical deteriorations, manage interventions like oxygen therapy, and collaborate closely with physicians to adjust care plans overnight.
Yes, Prime Healthcare provides bonus options up to $10,000 for Registered Nurses in the Progressive Care Unit, alongside competitive benefits such as tuition reimbursement and comprehensive insurance, enhancing the overall compensation package for full-time night shift RNs.