Step Down RN
St. Louis, MO
American Traveler
3x12 hrs, Nights

Assignment Overview

• Shift: Nights, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: Sep 8, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is hiring an experienced RN for a Step Down Unit night shift position requiring 2+ years of recent high-acuity bedside experience and vasopressor titration skills.

Details

• Acute care hospital setting with 233 staffed beds
• Step Down Unit with a 1:4 patient ratio
• Night shift, 3x12-hour shifts from 7:00 PM to 7:30 AM
• 13-week contract length
• Required to work 2 shifts every other weekend (Friday/Saturday or Saturday/Sunday, based on rotation)
• No on-call responsibilities
• Float to lower acuity floors within scope as needed
• Uses Epic charting system

Requirements

• Active MO or compact RN license required (no issuance if tied to another compact state)
• Current certifications: ACLS, BLS, and NIHSS
• Minimum 2 years of RN experience required
• Must have worked at the bedside within the last 6 months
• Some ICU experience or high-acuity stepdown experience required due to unit acuity
• Recent travel RN experience within the last 6 months required
• Trauma Level II experience required
• Epic charting experience preferred
• Required skills: titration of vasopressors, sedation medications, insulin drips, trach vents, arterial lines, external pacemakers, and chest tubes

Additional Information

• Provide nursing care for high-acuity step-down patients including cardiac, neurological, respiratory, and renal cases
• Navy scrub color required
• No parking costs at this facility
• First-time travelers are not accepted for this position
• Must reside outside a 75-mile radius of the facility to be eligible
• No local candidates accepted
• Permanent employees must wait 1 year before returning to this health system as a traveler
• Standard travelers must complete a 3-month break in service after an 18-month assignment period
• Maximum of 7 days RTO per 13-week contract, with no RTO allowed during the first week of the assignment
• Any RTO of 7+ days requires manager approval