Step Down RN
Charlottesville, VA
American Traveler
4x12 hrs, Nights

Assignment Overview

• Shift: Nights, 4x12hrs
• Hours: 48 hrs/wk
• Start Date: Oct 26, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is hiring a Registered Nurse for a Neuro Stepdown position requiring ACLS, BLS, NIHSS certifications and Epic experience.

Details

• 12-bed Stepdown unit utilizing critical care and neuroscience principles at the Intermediate level
• Patient population includes transfers from the Neuro ICU with neuro trauma, subarachnoid, intraventricular, or intracerebral hemorrhage
• Also cares for ENT cancer patients post tumor resection and flap reconstruction, post-operative spine patients, and a wide range of neurological conditions
• Patient ratio of 1:3
• Night shift, 4x12 hours (19:00-7:00)
• 13-week assignment with every other weekend and every other holiday required
• Must work 2 of the 3 winter holidays
• Must adhere to facility float policy
• Epic EMR experience required

Requirements

• Active VA or compact RN license required (pending license accepted if in-hand by the Wednesday before start)
• Current BLS, ACLS, and NIHSS certifications required
• Minimum 2 years of RN experience required
• BSN preferred
• Epic charting system experience required
• Skilled in neurological and psychiatric care including aneurysm repair, craniotomy, CVA, intracranial bleeds, and lumbar drains
• Experience with post-TPA care, pre/post neurosurgery, seizure disorders, spinal cord injury, and traumatic brain injury preferred
• IV therapy/phlebotomy skills including arterial line management, blood product administration, and PICC line management
• Respiratory management skills including BiPAP/CPAP, high flow nasal cannula, tracheostomy care, and oxygen administration
• Experience with feeding tube care, heparin protocols, cardiac and vasoactive drip management (no titration), and PCA
• Cardiac monitoring and dysrhythmia interpretation/management skills
• Knowledge of isolation precautions/PPE and IV insulin protocols
• Experience with EVD and lumbar drain management preferred
• Surgical drain and TR Band experience preferred

Additional Information

• Provide stepdown-level nursing care to neurological, neurosurgical, and post-surgical patients
• Float within scope of practice as needed per facility policy
• Up to 40 hours of RTO may be approved per 13-week contract, must be disclosed at time of consideration
• Previous permanent staff or internal/external travelers must have a 1-year separation plus leadership approval before returning
• External travelers cannot exceed 365 total assignment days and are not eligible to return once this threshold is reached
• First-time travelers are not considered for this role