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

Assignment Overview

• Shift: Nights, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: Sep 14, 2026
• Length: 12 weeks
• Openings: 1

Description

American Traveler is hiring an experienced RN for a Step Down/DOU unit position requiring 2 years of PCU/ICU experience and neuro telemetry skills.

Details

• Work in the Step Down/DOU unit of a Magnet-designated, Level I Trauma teaching hospital
• Neuro Stepdown/PCU/IMC patient population
• Patient ratio of 1:3
• Night shift schedule, 3x12 hours (7:00 PM - 7:30 AM)
• Required to work every other weekend
• No on-call responsibilities
• Floating required within service line to meet facility needs
• Uses EPIC charting system

Requirements

• Active RN license, MO or compact (compact license must match permanent residence)
• Current certifications: ACLS, BLS, and NIHSS
• BSN preferred
• Minimum 2 years of RN experience required, including at least 1 year at PCU or ICU level
• Neuro experience preferred but other specialties with similar baseline skills accepted
• Teaching hospital and Trauma Level I/II experience preferred
• Experience with interpretation and management of dysrhythmias
• Telemetry monitoring experience required
• Skilled in neuro/psychiatric conditions including CVA, craniotomy, intracranial bleeds, and seizure disorders
• Experience with arterial line management, cardiac drip management, and heparin protocols preferred
• IV insulin protocol experience preferred
• Tracheostomy care experience preferred

Additional Information

• Provide specialized nursing care to neuro stepdown/PCU patients requiring cardiac monitoring and dysrhythmia management
• Fit testing required; travelers must have facial hair that allows for proper mask fit or must be clean-shaven with no exceptions
• Navy blue scrubs required
• First-time travelers are welcome to apply
• Maximum of 7 days RTO allowed per 13-week contract, with no RTO permitted during the first week of the assignment
• Candidates must reside outside a 75-mile radius; no local candidates accepted
• Returning travelers may work an 18-month period before requiring a 3-month break in service
• Former permanent employees must wait 1 year before returning to any BJC facility as a traveler
• Contract length is firm with no exceptions