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

Assignment Overview

• Shift: Nights, 4x12hrs
• Hours: 48 hrs/wk
• Start Date: Nov 30, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is seeking a Stepdown RN for a night shift position requiring MO or compact RN license and Trach/Vent experience on a respiratory-heavy unit.

Details

• Med/Surg Intermediate Stepdown unit with 22 beds
• Patient ratios of 1:3 to 1:4
• Patient population includes respiratory failure, ETOH, overdose, GI bleed, electrolyte imbalance, COPD, and cancer cases
• Equipment used includes trach, ventilator, Vapotherm, and BiPAP
• EMR system is Epic
• Night shift schedule from 19:00 to 07:30
• Every other weekend required as needed by facility
• 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 full week for orientation

Requirements

• Active RN license (Missouri or compact)
• Current BLS and ACLS certification from AHA only
• Minimum 1 year of recent Stepdown experience, inpatient only
• Trach/Vent experience required due to high respiratory acuity
• No gaps in employment of 90+ days within the past 12 months
• Valid U.S. Social Security Number required; Canadian SINs not accepted

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 patient rights and confidentiality of patient information
• Flu vaccination or Mercy-approved exemption required for all travelers from November 1 through April 1, with no declinations accepted
• Black scrubs required
• Physical demands include standing and walking most of the shift, frequent bending, lifting, and turning patients with assistance, and exposure to blood and body fluids
• 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, though local bill rate is reduced
• Candidates living within 50 miles of the facility are limited to 3 consecutive 13-week contracts before requiring a 1-year separation or transfer to a facility outside the radius
• Level 2 Trauma Center and Comprehensive Stroke Center environment
• First-time travelers welcome to apply