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

Travel RN Step Down Nurse - Waco, Texas

Facility: TXWAC Asc Providence (Ascension Health)
Employment Type: Travel
Contract Length: 13 weeks
Specialty: RN Step Down

Job Requirements & Experience

• Minimum 3 years of nursing experience
• Experience with:

  • HFNC (High Flow Nasal Cannula)
  • BIPAP
  • Stable GTT management
  • Post-op day 1 CABG/AVR/MVR
  • Cardiovascular & vascular cases including AAA repair, lobectomy, CEA
  • Cardiac events: NSTEMI, STEMI, ACS, pacers
  • Critical conditions: sepsis, gastrointestinal bleeding (GIB), post DKA, respiratory failure, tracheostomies

Required Certifications & Licenses

• BLS (American Heart Association)
• ACLS (American Heart Association)
• Valid nursing license with Nursys verification within 30 days prior to start
• License/Certificate primary source verification within 30 days prior to start
• Driver’s License/State ID (must be current and valid)

Required Exams & Competencies

• Ascension Specialty Exam (passing minimum 80%)
• Ascension Color Vision Test (updated every 3 years)
• Ascension Core Competencies (HIPAA, Joint Commission, OSHA topics; minimum 80% score)
• NIH Certification (updated yearly or every 2 years depending on group)
• Ascension EKG Exam (passing minimum 80%)
• Ascension Epic Test-Out (clinical documentation system proficiency)
• Ascension Skills Checklist (clinical skills competency, updated annually)
• Ascension 12 Panel Drug Screen (within 30 days prior to start, updated annually)

Health & Immunization Requirements

• MMR: Documented proof of two vaccines or positive IGG titer (no declinations accepted)
• Hepatitis B: Documentation of vaccination series completion or signed declination
• Influenza Vaccine: Recommended during flu season (Oct 1 - Mar 31); declinations accepted with mask requirement
• Positive PPD or IGRA with negative chest X-ray and annual TB questionnaire
• 2 Step PPD or IGRA within required timeframes
• Varicella: Proof of immunity or two vaccine doses (no declinations accepted)
• Tdap: Valid within 10 years (no declinations accepted)
• Fit Test for respiratory protection (updated annually)

Onboarding & Professional Requirements

• Ascension Onboarding Requirements Education Attestation
• Ascension Nursing Contract Worker Onboarding (completed onsite)
• Ascension Nova StatStrip training
• Ascension Confirmation of Assignment documentation
• Ascension Criminal Background Check (7-year search including SSN trace, OIG, National Sex Offender)
• Ascension EPLS (Excluded Parties List System) check
• Ascension Education Verification (within 90 days of start)
• Ascension Employment Verification (7 years, updated annually)
• At least two professional references prior to first assignment
• Resume/Profile submission

Additional Notes

• Must complete all required documentation and exams prior to or at onboarding
• Some optional items include Ascension Unit Specific Checklist and Badge Photo
• Flu vaccine exemptions require mask wearing during flu season
• Post-assignment evaluations and exit surveys may be required

This position is ideal for experienced step-down nurses comfortable with complex cardiovascular and critical care patients, who meet Ascension Health’s rigorous credentialing and compliance standards.