Surgical Stepdown RN
Saint Louis, MO
American Traveler
3x12 hrs, Nights

Assignment Overview

• Shift: Nights, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: Mar 30, 2026
• Length: 13 weeks
• Openings: 5

Description

American Traveler is hiring an experienced RN for a Surgical Stepdown position in St. Louis, MO, requiring a minimum of 2 years of stepdown experience and active MO or compact RN license.

Details

• Work setting is a 29-bed Surgical Stepdown unit (6 West Med/Surg Intermediate) within a Level 2 Trauma Center and Joint Commission Comprehensive Stroke Center
• Patient population includes post-op high acuity surgical patients, trauma patients, and high acuity medical patients requiring cardiac drips, BiPAP, and close monitoring
• Patient ratio is 1:3 or 1:4
• EMR is Epic
• Night shift: 7:00 PM – 7:30 AM
• Every other weekend required
• No on-call requirements
• Floating required to any department of equal or lower acuity as needed
• 13-week contract

Requirements

• Active RN license in Missouri or a compact state currently in hand
• Valid U.S. Social Security Number required (Canadian SINs not accepted)
• Current BLS and ACLS certifications from AHA required
• Minimum 2 years of stepdown experience required
• Stepdown or ICU experience required; post-op care experience required
• Proficiency with BiPAP and cardiac drip management required
• Strong time management and critical thinking skills required
• No employment gaps of 90 or more days within the past 12 months
• Ability to stand and walk for most of the shift; must be able to lift, push, pull, and grip up to 50 lbs. and pinch up to 15 lbs.; bending, stooping, kneeling, crouching, and crawling required

Additional Information

• Responsibilities include assessment, planning, implementation, and evaluation of care for post-surgical, trauma, and high-acuity medical patients using the nursing process
• Coordinates patient care activities with ancillary departments to optimize patient outcomes and comfort
• Flu vaccination or a Mercy-approved exemption is required for assignments running November 1 through April 1; declinations are not accepted
• Black scrubs required; attire must meet Mercy standards (no specific graphic t-shirts; scrub top or jacket with Mercy logo and black scrub pants acceptable)
• RTO of up to 5 days is allowed but must be made up during the assignment; only 1 holiday RTO request per assignment
• Candidates living within 50 miles of the facility are eligible but will be subject to a reduced bill rate
• Local candidates within 50 miles are limited to 3 consecutive 13-week contracts at this facility before a 1-year separation or transfer outside the 50-mile radius is required