Trauma Stepdown RN
Denton, TX
TalentBurst, Inc
3x12 hrs, Nights

Position - TRAVEL - RN -Trauma Stepdown
Unit Information: Surgical Trauma
Location: Denton, TX
Shift Time:  Start Time: 07:00 PM End Time: 07:00 AM
Shift Type:  Night Shift
13 Weeks 
Address: 3535 S. Interstate 35E
General Information
Tell us about the unit(s):
Number of Beds - 25
Number of Staff – 44 FTE s (57 headcount)
Type of staff:
Day Shift – 1 charge/6 RN s/3 techs/1 secretary
Night Shift – 1 charge/6 RN s/3 techs
Patient Ratios – 1:4 (1:5 max for stepdown)
Type of equipment -
EMR – Meditech
On Call Requirement – none
Floating Requirement - to stepdown service lines (Progressive Care Unit/Heart and Vascular Unit)
Typical hiring profile
Skill Set Most recruited for: (Travel RNs, local CNAs and sitters)
Must have: candidates without these skills will not be considered for the role.
ACLS, BLS, NIH
Great customer service skills
Preferred or nice to have: candidates with these skills will be considered first.
Trauma/Orthopedic experience
Meditech experience
List typical procedures performed on unit(s):
Patients requiring acute surgical intervention/consultation or post op care including:
Trauma Surgery
Bariatric Surgery
Vascular Surgery
Traumatic Brain Injury
General Surgery
Urological Surgery
Orthopedic Surgery
Neuro / Spine Surgery
GI Bleed / Endoscopy
Pulmonary Embolus
Patients with neurological diagnosis including but not limited to: CVA, TIA, TBI, S/P Neuro-Surgery, Altered Mental Status
Meningitis
New onset Seizures
Hypertensive Crisis
Chest Pain, CHF
Sepsis – Hemodynamically Stable
Alcohol Withdrawal
Pre and Post Cardiac Cath Lab procedural patients (***HVU***)
Post–op CV surgery patients when hemodynamically stable (***HVU***)
Unstable angina, suspected MI (NSTEMI & STEMI). (***HVU***)
Chest pain rule out patients (***HVU***)
Chest pain with acute EKG changes and or elevated troponin. (***HVU***)
Patients with acute cardiac dysrhythmias requiring IV/PO medication management Hypertensive Urgency
Mild-Moderate congestive heart failure; with elevated BNP, and/or pulmonary edema on chest x-ray without shock
Respiratory distress patients with documented Sp02 88% or below on room air requiring Venti mask, BiPAP or CPAP
Post-op Femoropopliteal bypass, peripheral stents, post aortograms
Post-op CEA
Pulmonary Embolus requiring Heparin Drip
Patients meeting PACU discharge criteria
Vital Signs: HR 50-150 o BP > 90 mmHg and < 180 mmHg Systolic
Dyspnea with respiratory rate < *** breaths/min or > 10 breaths/min.
Oxygen Saturation greater than 90 Patients receiving the following Intravenous drips:
Agatroban o Agrastat/Integrelin/ReoPro o Amiodarone o Cardene o Cardizem o Dobutamine (Renal/Heart failure dose) o Dopamine (Renal/Heart failure dose) o Heparin o Lasix o Morphine or Ativan for palliative care o Nitroglycerin o Primacor o Sodium Bicarbonate


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