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

Assignment Overview

• Shift: Nights, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: Nov 30, 2026
• Length: 13 weeks
• Openings: 1

Description

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

Details

• Step Down Unit in an acute care hospital setting
• Night shift, 3x12 hours, 19:00-7:30
• Patient ratio of 1:4
• Required to work 2 weekend shifts every other weekend (Friday/Saturday or Saturday/Sunday)
• No on-call responsibilities
• Floating required to lower acuity floors within scope
• 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 nursing experience required
• Recent bedside experience within the last 6 months required
• ICU or high-acuity stepdown experience required due to unit acuity
• Trauma Level II experience required
• Recent travel nurse experience within the last 6 months required
• Skilled in titration of vasopressors, sedation medications, and insulin drips
• Experience managing trach vents, arterial lines, external pacemakers, and chest tubes
• Proficient in arterial, central, and PICC line care and management
• Skilled in cardiac monitoring, dysrhythmia interpretation, and management
• Experience with ventilated patients and respiratory care (BiPAP/CPAP, HFNC, ABG interpretation)
• Epic charting experience preferred

Additional Information

• Provide high-acuity nursing care to stepdown patients requiring close monitoring and titrated drips
• Facility is a 233-bed acute care hospital
• Navy scrub color required
• No parking costs
• Must reside outside a 75-mile radius of the facility to be eligible for this position
• Local candidates within 75 miles are not accepted
• Maximum of 7 days RTO per 13-week contract, with no RTO allowed during the first week of orientation
• Permanent employees must wait 1 year before returning to any BJC facility as a traveler
• Standard travelers may work up to an 18-month period before requiring a 3-month break in service
• First-time travelers are not accepted for this role