Transitional Care (Step-Down) Registered Nurse
Richmond, VA
Host Healthcare
3x12 hrs, Nights
Referral Bonus

Travel RN Opportunity - Richmond, Virginia

Position Details

• Specialty: Registered Nurse (RN) - Step-Down Unit (TCU)
• Location: Richmond, VA
• Employment Type: Travel
• Contract Length: 13 weeks

Unit Information

• Unit Type: Transitional Care Unit (TCU) / Step-Down
• Number of Beds: 20
• Patient Ratios: 4:1
• Staffing: Unit Secretary, Nurse Externs (can start IVs), Patient Care Techs (can draw labs), Registered Nurses, Manager, Director
• Equipment: ZOLL, Baxter pumps, GE telemetry monitors, imobile, Hillrom beds, Centrella Specialty beds, kangaroo pumps, Timpani and Inspire App (scheduling)
• Documentation System: Expanse
• Scheduling: Every other weekend, holiday or hard-to-fill availability, 2 Mondays / 2 Fridays per schedule
• Floating Policy: Can float to other Step-Down units (4:1 PSTU, CSU) and Medsurg units (6:1 ONC, CRPU, GSTU, NTU, MCU)

Required Skills & Experience

• Years of Experience: Minimum 2 years in specialty nursing
• Certifications Required: ACLS, BLS, NIH Certification, Registered Nurse License
• Clinical Experience Required:

  • Step-Down nursing experience
  • Cardiac drips (Diltiazem, Amiodarone, Dobutamine, Milrinone, Nitro, etc.)
  • BIPAP/CPAP/High Flow oxygen therapy
  • Sepsis management
• Procedures: Occasional bedside cardioversion (Cath Lab staff available for recovery)
• Patient Care: Acute care/Step-Down, post-cardiac catheterization without intervention, chest tubes

Unit Culture & Expectations

• Dress Code: All navy blue or all white scrubs, closed-toed shoes (no Crocs), HCA/Hospital branded T-shirts permitted
• Shift Times: Prompt start at 0700/1900; late arrivals not tolerated
• Shift Huddle: Mandatory attendance
• Bedside Shift Report: Mandatory for all patients, including isolation cases
• Team Environment: Strong teamwork and accountability emphasized
• Staff Experience: Mix of nurses with 30+ years of experience and new graduates; 0% turnover rate for last 2 years
• Recognition: Daisy Award, Rose Award, Bee Award, Pride Award

Additional Notes

• Prior travel experience is not explicitly required for this position.