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 Required

• Minimum 2 years of RN Step Down experience required (highest stated requirement).
• Experience with:

  • High Flow Nasal Cannula (HFNC)
  • BiPAP
  • Stable glucose tolerance testing (GTT) management
  • Post-operative day 1 care for CABG, AVR, MVR
  • Cardiovascular and vascular cases including AAA repair, lobectomy, carotid endarterectomy (CEA)
  • Cardiac events: NSTEMI, STEMI, Acute Coronary Syndrome (ACS)
  • Pacemaker management
  • Sepsis, gastrointestinal bleeding (GIB), post diabetic ketoacidosis (DKA)
  • Respiratory failure and tracheostomy care

Required Qualifications

Licensure & Certifications

• Valid, unrestricted RN license in Texas.
• Basic Life Support (BLS) issued by the American Heart Association (AHA).
• Advanced Cardiovascular Life Support (ACLS).
• National Institutes of Health Stroke Scale (NIHSS) certification.

Testing & Competency

• Ascension Specialty Exam.
• Ascension EKG Exam.
• Ascension Epic electronic health record test-out.
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN).

Experience

• Minimum 2 years of Step Down nursing experience.
• Step Down experience within the last year.
• Experience in vascular surgery.

Additional Notes

• Prior travel experience is not explicitly required.
• Optional items include unit-specific checklist and post-assignment hiring manager evaluation.
• All certifications and verifications must be current and compliant with stated timelines.
• Candidate must demonstrate competency and pass required exams with limited attempts allowed.

This position is ideal for experienced Step Down RNs comfortable with complex cardiovascular and respiratory patient care in a telemetry setting during overnight shifts.