Stepdown RN
Saint Louis, MO
American Traveler
4x12 hrs, Nights

Assignment Overview

• Shift: Nights, 4x12hrs
• Hours: 48 hrs/wk
• Start Date: Nov 16, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is hiring a Stepdown RN for a night shift position requiring Trach/Vent experience on a respiratory-heavy unit.

Details

• 22-bed Med/Surg Stepdown unit with patient ratios of 1:3 or 1:4
• Patient population includes respiratory failure, ETOH, overdose, GI bleed, electrolyte imbalance, COPD, and cancer patients
• Uses TRACH, VENT, VAPO, and BIPAP equipment
• Utilizes EPIC EMR
• Night shift schedule, 7:00 PM to 7:30 AM
• Every other weekend required
• No on-call requirements
• Floating required as needed to a similar or lower acuity unit
• Night shift staff orient on day shift and must be available the entire orientation week

Requirements

• Active RN license meeting Missouri licensure requirements or current MO license
• BLS and ACLS certification from AHA required
• Minimum 1 year of recent Stepdown experience in an inpatient setting required
• Trach/Vent experience required due to respiratory-heavy unit
• Must be able to stand and walk for most of the shift
• Able to push, pull, and grip up to 50 lbs, pinch up to 15 lbs, and perform minimal kneeling, crouching, and crawling
• Flu vaccination or Mercy-approved exemption required November 1 through April 1, with no declinations accepted
• Valid U.S. Social Security Number required

Additional Information

• Provide direct patient care including assessment, planning, implementation, and evaluation for all age groups
• Coordinate patient care activities with ancillary departments to optimize care and comfort
• Evaluate the overall effectiveness of care provided by other direct caregivers
• Black scrub color required
• RTO of 5 days or less allowed but must be made up during the assignment
• Holiday RTO limited to one request per assignment
• Local candidates accepted at a reduced bill rate for those within 50 miles of the facility
• Candidates within 50 miles are restricted to 3 consecutive 13-week local contracts before requiring a 1-year separation or transition outside the radius
• No employment gaps of 90+ days within the past 12 months allowed
• First-time travelers may be considered for this position