Step-Down RN
Waco, TX
ADN Healthcare
3x12 hrs, Nights
Referral Bonus

Registered Nurse - Step Down

Location: Waco, Texas
Employment Type: Long-Term Assignment (LTA)
Contract Length: 13 weeks
Shift: 6:45 PM – 7:15 AM

Job Description / Clinical Experience

• Care for patients requiring HFNC (High Flow Nasal Cannula) and BIPAP
• Management of stable GTT (Glucose Tolerance Test)
• Post-operative care for POD#1 CABG (Coronary Artery Bypass Graft), AVR (Aortic Valve Replacement), MVR (Mitral Valve Replacement)
• Cardiovascular and vascular experience including AAA (Abdominal Aortic Aneurysm) repair, lobectomy, and CEA (Carotid Endarterectomy)
• Management of acute cardiac events: NSTEMI, STEMI, ACS (Acute Coronary Syndrome), pacers
• Care for sepsis, gastrointestinal bleeding (GIB), post diabetic ketoacidosis (DKA), respiratory failure, and tracheostomies

Required Qualifications

• Valid RN license in Texas
• Associate of Science in Nursing (ASN) / Associate Degree in Nursing (ADN)
• Minimum 2 years of Cardiac Stepdown nursing experience
• Cardiac Stepdown experience within the last year
• BLS certification issued by the American Heart Association
• ACLS certification issued by the American Heart Association
• NIHSS certification
• EPLS certification
• Stepdown nursing experience
• Vascular Surgery experience
• Valid Driver's License

Health and Safety Requirements

• Proof of immunizations and health screenings:

  • Two MMR vaccines or positive IgG titer (no declinations accepted)
  • Two Varicella vaccines or serological evidence of immunity (no declinations accepted)
  • Tdap vaccine valid within 10 years (no declinations accepted)
  • Hepatitis B vaccination series completion or signed declination
  • Influenza vaccine recommended during flu season (exemptions accepted with mask requirement)
• Tuberculosis screening:

  • 2-step PPD or negative IGRA within 90 days prior to start
  • If positive, negative chest X-ray within one year and annual TB questionnaire
• Fit test for respiratory protection (preferred prior to start, can be completed onsite)
• Annual 12-panel drug screen within 30 days prior to start and updated annually
• Statement of good health or completed physical exam prior to first assignment, updated annually

Documentation and Verification

• Current, unexpired driver’s license or state ID matching address on file
• Resume/profile submission required prior to assignment
• Signed assignment agreement required before onboarding
• Confirmation of assignment documentation required at start and with each extension
• Completion of exit survey at assignment end (optional)

Experience Requirements

• Specialty: Registered Nurse in Step Down unit
• Years of experience: Not explicitly stated; assume standard RN Step Down experience expected
• Prior travel experience: Not required

This position requires a nurse skilled in cardiovascular and post-operative care in a step-down setting, with comprehensive certifications and compliance with detailed onboarding and health requirements. The shift is primarily overnight, and the contract is approximately 3 months in length.