Registered Nurse - Stepdown Care Unit
Peoria, IL
American Traveler
3x12 hrs, Nights

Assignment Overview

• Shift: Nights, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: Mar 16, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is hiring a travel RN for a Stepdown Care Unit position requiring ICU/Intermediate experience with trach and vent skills in an acute care hospital setting.

Details

• Acute care hospital stepdown unit with 20 beds (8 private, remainder semi-private)
• Nurse-to-patient ratio of 3:1
• Diverse patient population including COPD, CHF, DM, sepsis, renal failure, DKA, alcohol withdrawal, overdoses, pneumonia, and neuro/surgical/cardiac cases
• Patients frequently require BiPAP, CPAP, face mask ventilation, trachs, vented trach patients, chest tubes, G-tubes, NG tubes, PICC lines, and central lines
• RNs are required to titrate drips including Cardene, Cardizem, Amiodarone, Dobutamine, Heparin, and low-dose or infrequent Vasopressors
• All patients on bedside Philips monitors; telemetry techs interpret strips and RNs confirm
• 12-hour shifts, 7am–7pm or 7pm–7am; nights position
• Every other weekend required (nights: Friday/Saturday; days: Saturday/Sunday)
• Holiday coverage on every other holiday rotation, including working the companion day of major holidays
• No on-call or standby requirement
• Travelers are first to float; float destinations include ICU (with extensive ICU experience), other Stepdown units, or General Med — patient ratios adjust by level of care
• EMR: Epic
• 2 PCTs per shift, each covering up to 10 patients when the unit is at full capacity

Requirements

• Active Illinois (IL) RN license required; must be active at time of consideration (pending licenses not accepted)
• Minimum 1 year of RN experience required
• BLS certification (AHA) required; ACLS recommended
• ICU or Intermediate/Stepdown experience with a nurse-to-patient ratio of 3:1 or 2:1 required — progressive care or telemetry experience alone is not sufficient
• Trach and ventilator experience required
• 2 professional references required: one supervisor from within the last 12 months and one peer or supervisor from within the last 3 years, both including dates of employment and eligibility for rehire
• Negative drug screen required; facility is a drug-free campus
• BSN not required

Additional Information

• Responsibilities include titrating vasoactive and cardiac drips, managing complex stepdown patients, and confirming telemetry strip interpretations
• Charge nurse is present on each shift (free charge unless staffing is not ideal); house supervisor available 24/7
• Orientation consists of approximately 3 days: 1 day Epic training, 1 day with unit educator, and 1 day on the floor with an RN
• Block scheduling is available and the unit works with travel RNs on scheduling preferences
• No scrub color restriction — any color is acceptable
• Local candidates are accepted; clinicians with a permanent address within 50 miles of the facility are subject to a local pay rate
• Licenses and certifications must be active at time of consideration — pending credentials are not accepted
• COVID vaccination is not required for this position