Step-Down/Progressive Care RN
Anderson, IN
Access Healthcare
3x12 hrs, Days

Registered Nurse (Step Down Unit)

Location: Anderson, Indiana
Employment Type: Long-Term Assignment (13 weeks)
Shift: 07:00 AM – 07:30 PM

Job Summary

Provide specialized nursing care to medically complex patients in a Step-Down/Progressive Care/Med-Telemetry unit. Care involves close monitoring, frequent assessments, and managing patients who require telemetry and specialized interventions but do not meet ICU criteria. Collaborate with a multidisciplinary team to deliver safe, high-quality, patient-centered care in a fast-paced environment.

Key Responsibilities

• Deliver direct patient care for patients requiring telemetry, frequent monitoring, and specialized interventions.
• Perform comprehensive assessments: respiratory, cardiovascular, neurological, and hemodynamic status.
• Monitor and interpret cardiac rhythms, vital signs, and lab results; notify providers of changes.
• Administer medications safely, including IV medications per physician orders and policy.
• Manage care for patients with telemetry monitoring, IV drips (cardiac, vasoactive, insulin infusions), central/PICC lines, oxygen therapy, high-flow oxygen, CPAP/BiPAP as appropriate.
• Implement and evaluate individualized patient care plans.
• Collaborate with physicians, respiratory therapy, physical therapy, case management, and other disciplines.
• Educate patients and families on diagnosis, treatment, medications, and discharge instructions.
• Document assessments, interventions, and patient responses accurately in the EMR.
• Recognize early signs of patient deterioration and escalate care or activate rapid response as needed.
• Adhere to infection prevention, fall precautions, and patient safety standards.
• May float to other medical/surgical units as needed.

Required Qualifications

• Valid RN license in Indiana
• Minimum of 1 year of Step-Down nursing experience within the last year
• BLS certification issued by the American Heart Association
• ACLS certification
• NIH Stroke Scale (NIHSS) certification
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)

Contract Details

• Length: 13 weeks
• Shift: 12.5 hours (07:00 AM – 07:30 PM)

Notes

• Prior travel experience is not specified as required.
• Floating to other med/surg units may be required.
• Strong critical thinking, clinical judgment, and ability to manage complex patient conditions in a fast-paced environment are essential.