Step-Down Registered Nurse
Waco, TX
Access Healthcare
3x12 hrs, Days

Job Opportunity: RN Step Down

Location: Waco, Texas
Employment Type: Long-Term Assignment (LTA)
Contract Length: 13 weeks

Specialty & Experience Requirements

• Specialty: RN Step Down
• Minimum 3 years of experience required
• Clinical skills and experience with:

  • HFNC (High Flow Nasal Cannula)
  • BIPAP
  • Stable GTT management
  • Post-operative care for CABG, AVR, MVR (Post-op day 1)
  • Cardiovascular and vascular experience including AAA repair, lobectomy, CEA
  • Management of NSTEMI, STEMI, ACS
  • Pacers, sepsis, gastrointestinal bleeding (GIB), post DKA, respiratory failure, tracheostomies

Prior Travel Experience

• No explicit requirement for prior travel experience mentioned

Required Certifications & Licenses

• Current RN license with primary source verification (within 30 days prior to start)
• BLS (AHA certified)
• ACLS (AHA certified)
• Nursys verification (within 30 days prior to start)
• Specialty competency exam (Ascension Specialty Exam) with minimum 80% passing score
• Color vision test (updated every 3 years)
• Core competencies including HIPAA, Joint Commission NPSG, OSHA topics (updated yearly, minimum 80% score)
• NIH Certification (updated yearly or every 2 years depending on group)
• EKG exam with minimum 80% passing score
• Epic test-out assessment
• Fit test (annual)
• Health statement or physical exam (updated annually)
• 2-step PPD or IGRA with chest X-ray if positive, TB questionnaire (updated annually)
• Immunizations:

  • MMR (two vaccines or positive titer, no declinations accepted)
  • Hepatitis B vaccination or declination documentation
  • Influenza vaccine (seasonal, exemptions accepted with mask requirement)
  • Varicella (two vaccines or immunity proof, no declinations accepted)
  • Tdap (valid for 10 years, no declinations accepted)

Additional Requirements

• Criminal background check including SSN trace, OIG search, National Sex Offender Registry (within 30 days prior to start)
• Employment verification for past 7 years
• Drug screening: 12 panel urine drug screen within 30 days prior to start, updated annually
• Education verification within 90 days prior to start
• Signed assignment agreement and other onboarding documentation
• Driver’s license or state ID (must be valid and match address requirements)

Job Description Highlights

• Care for patients in a step-down unit with complex cardiovascular and respiratory needs
• Manage post-operative cardiac surgery patients and those with acute cardiac events
• Provide care for patients requiring advanced respiratory support and monitoring
• Work within a multidisciplinary team in a hospital setting

This position is ideal for experienced RN Step Down nurses with strong cardiovascular and respiratory care skills seeking a 13-week long-term assignment in Texas.