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

Assignment Overview

• Shift: Days, 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 position requiring 2+ years of high-acuity stepdown or ICU experience and vasopressor titration skills.

Details

• Step Down Unit within an acute care hospital
• Patient ratio of 1:4
• Day shift schedule with 3x12-hour shifts from 7:00 AM to 7:30 PM
• Required to work every other weekend (Saturday and Sunday for day shift)
• No on-call responsibilities
• Float to lower acuity floors within scope to meet facility needs
• Uses EPIC charting system

Requirements

• Active RN license (MO or Compact) required, with no issuance tied to another compact state
• Current certifications: BLS, ACLS, and NIHSS
• Minimum 2 years of RN experience required, with bedside experience within the last 6 months
• ICU or high-acuity stepdown experience required due to unit acuity
• Trauma Level II experience required
• Travel experience required within the last 6 months
• Experience with titration of vasopressors, sedation medication, insulin drips, trach vents, art lines, external pacemakers, and chest tubes required
• EPIC charting experience preferred
• Must be clean-shaven or have facial hair that allows for proper respirator fit testing

Additional Information

• Provide direct patient care to high-acuity stepdown patients including cardiac, neurological, and respiratory cases
• Manage patients requiring titration of vasopressors, sedation, insulin drips, and other advanced interventions
• Navy scrub color required
• First-time travelers will not be considered for this position
• Candidates must reside outside a 75-mile radius of the facility
• Maximum of 7 days RTO per 13-week contract, with no RTO during the first week of orientation
• Additional RTO beyond 7 days requires manager approval
• Permanent employees of the health system must wait 1 year before returning as a traveler
• Standard travelers may work up to an 18-month period before requiring a 3-month break in service