Step-Down Unit Registered Nurse
Saint Louis, MO
Prime Staffing
4x12 hrs

ID: 62547491 Shift: Night 3x12-Hour (19:00 - 07:30) Description: Step Down Unit NightsRatios: 1:4Years of experience REQ: 2 yearsMust have experience in vents, titration of pressors, and insulin drips. First-timers accepted: NWeekend REQ: 2 shifts every other weekend. For day shift it is every other weekend, Saturday and Sunday. For night shift it can be Friday/Saturday or Saturday/Sunday -depends on who already is on rotationCerts REQ: ACLS, BCLS, NIH requiredIs on-call REQ? NWill clinician float within scope to meet facility needs? Yes, Float to floors that are lower acuityOpen to accommodating block schedule? NLocals accepted: N What is the local radius rule? 75 milesPending License accepted: YRTO Restrictions: NoneGuaranteed Hours: 36 hours for 3-12sSpecial Requirements:Titration of vasopressors, sedation medication, insulin drips, trach vents, art lines, external pacemakers, chest tubes.Must have been at the bedside within the last 6 months.Hospital HighlightsType of Facility: Acute Care HospitalTotal Staffed Beds: 233Scrub Color: NavyCharting: EPICParking Cost: NoneCO Modified Time:6/15/2026 12:00:00 AM Account Manager: Taylor Mason Account Manager Email: COVID-19 Vaccine: Not Required Flu Vaccine: Required - Medical/Religious Exemptions Only Submittals:Low Job Requirements & Qualifications Previous Charge Experience : Preferred Years of Experience : 2 Patient Ratio Experience : Charting System Experience : Preferred Charting System Name : Epic Community Hospital Experience : - LTAC Experience : - Trauma Level I Experience : - Trauma Level II Experience : Required Travel Experience Required : Yes Certifications : ACLS, BLS, NIHSSSkills : Arterial line management, BiPAP/CPAP management/maintenance, Blood Product Administration, Cardiac Telemetry, Care of Ventilated Patient, Central line care/management, Chest tubes-Emerson/PleurEvac, Continuous Bladder Irrigation (CBI), CVA (Cerebrovascular Accident), Feeding tube care and management, Heparin Protocols, High Flow Nasal Cannula (HFNC), Interpretation of Arterial Blood Gases (ABGs)*, Interpretation of dysrhythmias, Isolation Precautions/PPE, IV insulin protocols, Lumbar drains, Manage Cardiac drips- no titration, Manage Vasoactive drips-no titration, Management of dysrhythmias, MS/Tele, Nasal Cannula, Non-invasive airway management, Ortho trauma, Oxygen administration, Oxygen tanks, Pacemakers/Temporary/Permanent, PCA, PCU/DOU/IMC/Stepdown, Peripheral Line Care/Management, Phlebotomy, PICC line management, Post Cardiac Angiogram, Post MI, Pre/Post Cardiac Cath, Pre/Post Hemodialysis Management, Pre/Post neurosurgery, Procedural Sedation Administration/Monitoring*, Renal failure, Seizure disorders, Skin grafts, Spinal cord injury, Starting and maintaining IVs, Substance Withdrawal, Surgical drains, Telemetry, Telemetry - on the unit monitoring, Thrombolytic Agents, Titrate Cardiac drips, Titrate Vasoactive drips, Total joint replacement, TR Band, Tracheostomy care/management, Traumatic Brain injury, Use of Rapid Response/Code teams, Wound Care/Wound Vac, Titrating vasopressors (HARDSTOP)-Continous IV sed, Needs some ICU exp/hi acuity PCU Unit Details Staffing & Scheduling Scheduling Type : self Patient Ratios Days : 3 Patient Ratios Nights : 3 Patient Ratios Weekends : 3 Float Required : Float to floors that are lower acuity Call Required : - Weekend Coverage : False Number of Weekend Shifts Per Contract : Every other weekend (Saturday and Sunday required) Pre-Approved Time Off : - Orientation Hours : 24 Facility & Patient Care Details Patient Age Groups : Adults Daily Census : 25 Number of Visits Per Day : - Number of Rooms : 29 Number of Beds : 29 Additional Unit Information Interdisciplinary Support : Physical Therapy, Respiratory Services, Interpretation Services, Social Services, Rapid Response Teams, Pharmacy, Unit Secretary Patient Diagnoses : Acute Medical Care Unit, essentially a step-down from ICU. High acuity step down unit Special Procedures/Unit Details : **** HARDSTOP - need travelers who have proficient exp with the following: Titration of vasopressors (Levophed, Nicardipine, etc), sedation medication, art lines, cardiac arrhythmias, chest tubes, trach vented patients **** Typically we have 1-2 RTs that are assigned to SDU each shift, depending on census. RT is responsible for vents, but RN needs to know how to troubleshoot alarms.**The special procedures and equipment are non-negotiable, as this is the level of care of the floor.** Special Equipment : ***** HARDSTOP - Bipap, Opti flow, art line ******The special procedures and equipment are non-negotiable, as this is the level of care of the floor.** #Tier2 Travel Compliance RTO: Max of 7 days of RTO (7+ days requires manager approval, along with any holiday RTO). No new RTO after submission. No RTO allowed the first week of an assignment. License Information: MO: Submit without license OK; requires MO or compact (no issuance if tied to another compact state). IL: License in hand required at time of submittal. Compact: Must match permanent residence otherwise submit for update + confirm ETA. Radius/Local Rules: No local candidates accepted within 75 mile radius. No local travelers allowed, except for Patient Care Technicians, Certified Nurse Assistants, and Medical Assistants. Tenure Policy / Returning Staff and Tenure Policy (excluding Interim Leadership and RNFA roles): 18 months with a 3-month break in service required. Permanent employees (across BJC and/or Saint Lukes) must wait 1 year before returning to any BJC facility as a traveler. Floating: All travelers will float within service line. Charting System: Epic Contract Details: Confirm shift in submittal (e.g., 3x12, 4x12, etc.). Please note, contract length is firm. Booking Rules: BJC does not permit contractors to sign a contract and subsequently cancel it in order to accept another BJC assignment. Contractors are expected to fulfill the terms of their signed agreement in full. Mid-contract cancellations for the purpose of booking a different BJC assignment are not allowed. If a contract is canceled at the contractor s discretion, they must complete an assignment elsewhere before being considered for a new BJC opportunity. Compliance Deadlines/Requirements : Compliance deadline is 3pm CST on the Monday of the week before initial start date. Fit testing: *Travelers must have facial hair that allows for proper testing or will be expected to shave. No exceptions Certifications: For Barnes-Jewish Hospital location only: ACLS Required All RNs (except Behavioral Health, Case Manager Outpatient) are required to obtain ACLS by compliance hard document deadline. Certifications not required at time of submittal unless otherwise noted in the job description. Labs: Labs must be completed within 48-72 hours of signing Modules: Modules are billable up to 16 hours at $20/hr. Modules are completed pre-start, they are required for RNs and LVS and do not differ per specialty Modules are completed through WorkRamp and uploaded to compliance report Modules should be started within 1 week of signed contract, and MUST be completed 2 Fridays prior to the start date to avoid a delay in starting Submittal Details: #Tier2 Travel ComplianceRTO: Max of 7 days of RTO (7+ days requires manager approval, along with any holiday RTO).  No new RTO after submission. No RTO allowed the first week of an assignment. License Information: MO: Submit without license OK; requires MO or compact (no issuance if tied to another compact state). IL: License in hand required at time of submittal. Compact: Must match permanent residence otherwise submit for update + confirm ETA. Radius/Local Rules: No local candidates accepted within 75 mile radius.  No local travelers allowed, except for Patient Care Technicians, Certified Nurse Assistants, and Medical Assistants. Tenure Policy / Returning Staff and Tenure Policy (excluding Interim Leadership and RNFA roles):  18 months with a 3-month break in service required. Permanent employees (across BJC and/or Saint Lukes) must wait 1 year before returning to any BJC facility as a traveler. Floating: All travelers will float within service line. Charting System:  Epic Contract Details: Confirm shift in submittal (e.g., 3x12, 4x12, etc.). Please note, contract length is firm. Booking Rules: BJC does not permit contractors to sign a contract and subsequently cancel it in order to accept another BJC assignment. Contractors are expected to fulfill the terms of their signed agreement in full. Mid-contract cancellations for the purpose of booking a different BJC assignment are not allowed. If a contract is canceled at the contractor s discretion, they must complete an assignment elsewhere before being considered for a new BJC opportunity. Compliance Deadlines/Requirements: Compliance deadline is 3pm CST on the Monday of the week before initial start date. Fit testing: *Travelers must have facial hair that allows for proper testing or will be expected to shave. No exceptions Certifications: For Barnes-Jewish Hospital location only: ACLS Required All RNs (except Behavioral Health, Case Manager & Outpatient) are required to obtain ACLS by compliance hard document deadline. Certifications not required at time of submittal unless otherwise noted in the job description. Labs: Labs must be completed within 48-72 hours of signing Modules: Modules are billable up to 16 hours at $20/hr.Modules are completed pre-start, they are required for RNs and LVS and do not differ per specialty Modules are completed through WorkRamp and uploaded to compliance report Modules should be started within 1 week of signed contract, and MUST be completed 2 Fridays prior to the start date to avoid a delay in starting  Guaranteed Hours: 48 Contract Weeks:91