Step Down Registered Nurse
Saint Joseph, MO
Access Healthcare
3x12 hrs, Days

Job Opportunity: Registered Nurse - Step Down Unit

Location: Saint Joseph, Missouri
Employment Type: Travel/Contract
Contract Length: 13 weeks

Job Summary

Seeking a Registered Nurse for a Step Down unit. This is a travel/contract position requiring compliance with specific certifications, background checks, and health documentation.

Required Certifications

• ACLS (Advanced Cardiac Life Support): AHA only (RQI acceptable)
• BLS (Basic Life Support): AHA (RQI acceptable) or ARC (must state "Basic Life Support")
• PALS (Pediatric Advanced Life Support): AHA only (RQI acceptable)
• TNCC (Trauma Nursing Core Course): Required prior to start for Emergency Department RNs; ICU RNs only if assignment exceeds 1 year
• NIH Stroke Certification: Required annually for Acute Hospital RN in Step Down and related units
• State License Verification: Primary source verification required within 30 days of start
• NURSYS Verification: Required
• IV Certification: Required for LPNs, must be valid in Missouri or accepted by Missouri
• CPI (Crisis Prevention Institute): Required if extending past initial contract; Emergency Department and Mental Health RNs/LPNs must attend Advanced CPI onsite

Required Exams and Competencies

• Basic Dysrhythmia Exam: Required for all RNs and LPN/LVNs in Acute Hospital settings; must score 84% or higher; ICU unit has a one-attempt policy
• Medication/Pharmacology Competency Exam: Required as applicable
• Competency Exam: Required as applicable to profession/specialty
• Dysrhythmia/EKG Competency Exam: Initial exam must be dated within 1 year of start; remediation process applies for non-ICU candidates

Background Checks and Verifications

• National Criminal Check
• State Searches (10 years of all addresses with aliases)
• County Searches (10 years of all addresses with aliases)
• SSN Trace with all aliases
• National Sex Offender Check
• FACIS Level 3
• EPLS/GSA/SAM
• HHS/OIG
• Education Verification (official transcript or diploma with graduation date)
• Missouri EDL Search (within 30 days of start)

Health and Immunization Requirements

• Physical Exam: Physician statement within last 12 months (not required annually)
• Fit Mask Testing: Completed onsite at orientation
• TB Screening: Negative PPD, Q-Gold, or T-SPOT within 1 year and updated annually; if positive, chest x-ray within 6 months and annual TB questionnaire required
• MMR (Rubeola, Mumps, Rubella): 2 vaccines, positive titer, or declination accepted; if no proof, first vaccine required prior to start, second vaccine within 28 days
• Hepatitis B: Proof of vaccination series, titer, or declination; if no proof, first vaccine required prior to start, subsequent vaccines per schedule
• Varicella: 2 vaccines, positive titer, or declination; if no proof, first vaccine required prior to start, second vaccine within 28 days
• Drug Testing: Required within 30 days of start; must include a comprehensive panel of substances
• Flu Vaccine: Required during flu season or agency-approved medical/religious exemption; declinations not accepted; mask required if exempt

Documentation and Compliance

• Confidentiality Agreement and Code of Conduct acknowledgment required
• Agency Nurse Orientation Quiz: Must score 84% or higher prior to start
• Employment Application and Skills Checklist required
• Verification of most recent employer required
• Two professional references within 3 years required

Additional Notes

• Prior travel experience is not explicitly required for this position.
• Specialty years of experience are not specified in the description.
• Orientation and testing policies are strictly enforced, especially for ICU and Step Down units.

This position requires thorough compliance with facility and state-specific documentation, certifications, and health requirements to ensure readiness for assignment.