Step Down RN
Saint Louis, MO
American Traveler
4x12 hrs, Nights

Assignment Overview

• Shift: Nights, 4x12hrs
• Hours: 48 hrs/wk
• Start Date: Sep 7, 2026
• Length: 26 weeks
• Openings: 1

Description

American Traveler is hiring an experienced RN for a Stepdown night shift position requiring trach/vent skills and a MO or compact RN license.

Details

• 22-bed Med/Surg Intermediate Stepdown unit
• Patient ratio of 1:3-4
• Respiratory-heavy floor treating respiratory failure, ETOH, overdose, GI bleed, electrolyte imbalance, COPD, and cancer patients
• Utilizes trach, vent, VAPO, and BIPAP equipment
• Uses EPIC EMR
• Night shift, 19:00-07:30
• Every other weekend required
• No call requirements
• Floating required to similar or lower acuity units as needed
• Night shift orientation occurs on day shift, requiring full availability that week

Requirements

• Active RN license (Missouri or compact)
• Current BLS and ACLS certification from AHA
• Minimum 1 year of recent inpatient Stepdown experience required
• Trach/vent experience required
• No gaps in employment exceeding 90 days within the past 12 months

Additional Information

• Provide direct patient care including assessment, planning, implementation, and evaluation across all age groups
• Coordinate care with ancillary departments to optimize patient outcomes and comfort
• Maintain professional accountability and evaluate care provided by other direct caregivers
• Level 2 Trauma Center and Comprehensive Stroke Center environment
• Black scrubs required
• Flu vaccination or facility-approved exemption required November 1 through April 1; declinations not accepted
• RTO of up to 5 days allowed, must be made up during the assignment
• Only 1 holiday RTO request allowed per assignment
• Local candidates accepted, though bill rate is reduced for those within 50 miles of the facility
• Candidates within 50 miles are limited to 3 consecutive 13-week contracts before requiring a 1-year separation or reassignment outside the radius
• Teamwork, dependability, and flexibility are valued traits for this role