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

Assignment Overview

• Shift: Nights, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: Nov 23, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is seeking a Step-Down/PCU RN for night shift with at least 2 years of recent telemetry experience and ACLS/BLS certification.

Details

• Dual unit covering PCU/Stepdown and a general floor, with nurses able to work either side
• PCU patient ratio of 2-3, floor ratio typically 4 (occasionally 5)
• Night shift schedule, 3x12 hours (7:00 PM-7:30 AM)
• Every other weekend required
• Floating within scope required to meet facility needs
• No on-call responsibilities
• Uses EPIC for charting
• Magnet-designated, teaching hospital and Level I Trauma Center

Requirements

• Active MO or compact RN license required (compact must match permanent residence)
• ACLS and BLS certification required
• Minimum 2 years of recent Step-Down/PCU RN experience required (1.5 years considered with Level I Trauma experience)
• Skilled in interpretation and management of dysrhythmias
• Experience managing and titrating cardiac drips
• Experience with chest tube management (Emerson/PleurEvac)
• Experience with cardiac monitoring and emergency response
• Pre/post cardiac catheterization and pre/post cardiac surgery care experience
• Must be clean-shaven or have facial hair compatible with respirator fit testing

Additional Information

• Provide direct nursing care within a Cardiac Telemetry/Step-Down unit, including cardiovascular monitoring and dysrhythmia management
• Navy blue scrub color required
• First-time travelers are welcome to apply
• No local candidates accepted within a 75-mile radius of the facility
• Candidates residing outside a 75-mile radius may remain on assignment for up to 18 months, followed by a required 3-month break in service
• Previous permanent employees must wait 1 year before returning to any BJC facility as a traveler
• Maximum of 7 days RTO allowed per 13-week contract, with no RTO permitted during the first week of the assignment
• Contract length is firm with no early cancellation to accept another assignment at the same health system