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 night shifts, requiring at least one year of inpatient Stepdown experience with Trach/Vent proficiency.

Details

• Med Surg Intermediate/Stepdown unit with 22 beds
• Night shift schedule, 7:00 PM to 7:30 AM
• Every other weekend required as per facility needs
• No on-call responsibilities
• Float to similar or lower acuity units as needed
• Patient ratios of 1:3/4
• Unit utilizes Trach, Vent, Vapotherm, and BiPAP equipment
• EMR system used is Epic
• Patient population includes respiratory failure, ETOH, overdose, GI bleed, electrolyte imbalance, COPD, and cancer cases
• Night shift staff orient on day shift; full week availability required for orientation

Requirements

• Active RN license, eligible for or currently licensed in Missouri
• BLS and ACLS certifications from AHA required
• Minimum 1 year of recent Stepdown experience in an inpatient setting required
• Trach/Vent experience required due to respiratory-heavy patient population
• No gaps in employment exceeding 90 days within the past 12 months

Additional Information

• Provide direct patient care using the nursing process including assessment, planning, implementation, and evaluation
• Coordinate patient care with ancillary departments to optimize comfort and outcomes
• Maintain professional accountability and evaluate care provided by other caregivers
• Work in a Level 2 Trauma Center with Comprehensive Stroke Center and Level 1 STEMI Center designations
• Flu vaccination (or approved exemption) required for all travelers from November 1 to April 1, with no declinations accepted
• Scrub color required is black
• Physical demands include standing, walking, bending, lifting, pushing/pulling up to 50 lbs, and occasional kneeling and crawling
• High risk exposure to blood and body fluids
• Up to 5 days of requested time off allowed, must be made up during the assignment
• Holiday RTO limited to one request per assignment
• Local candidates accepted within a 50-mile radius, subject to local contract restrictions after 3 consecutive 13-week assignments
• First-time travelers may be considered