Registered Nurse, Step-Down Unit
Saint Louis, MO
Access Healthcare
3x12 hrs, Nights

Job Opportunity: Registered Nurse - Step Down Unit (Nights)

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

Unit & Shift Details

• Unit: Step Down Unit (Nights)
• Nurse-to-Patient Ratio: 1:4
• Weekend Requirement: 2 shifts every other weekend (Friday/Saturday or Saturday/Sunday for night shift)
• Guaranteed Hours: 36 hours per week (3 shifts of 12 hours)
• Float Requirement: Yes, float within scope to lower acuity floors
• Block Scheduling: Not accommodated
• Local Candidates: Not accepted (local radius rule: 75 miles)
• Pending License: Accepted
• Must have been at bedside within last 6 months

Experience & Certifications

• Required Specialty Experience: Minimum 2 years as a Registered Nurse
• Prior Travel Experience: Not required
• Certifications Required:

  • ACLS (Advanced Cardiac Life Support)
  • BLS (Basic Life Support)
  • NIH Stroke Certification
• Additional Preferred/Unit-Specific Certifications:

  • PALS (Pediatric Advanced Life Support) or ENPC (Emergency Nursing Pediatric Course) for ER
  • TNCC (Trauma Nursing Core Course)
  • CPI or MAB (Crisis Prevention Institute or Management of Assaultive Behavior) if applicable
  • IV Certification (for LPN/LVN if applicable)

Clinical Skills & Special Requirements

• Experience with titration of vasopressors, sedation medications, insulin drips
• Management of trach vents, arterial lines, external pacemakers, chest tubes
• Must be comfortable with EPIC charting system

Licensure & Compliance

• Missouri RN license required (pending licenses accepted)
• Primary source verification of professional license required (NURSYS verification for Missouri)
• Background checks required including:

  • Criminal background check within 6 months
  • EPLS/GSA/SAM quarterly checks
  • HHS/OIG quarterly checks
  • State-specific searches (Missouri EDL, Highway Patrol, Family Care Safety Registry)
• Education verification required (highest nursing education)
• Drug testing within 1 year of start, must include full panel (amphetamines, opiates, cocaine, etc.)
• Physical exam within 1 year of start
• Fit mask testing required annually (N95 respirators)
• Immunizations and health screenings required:

  • Tdap vaccine or declination
  • Negative TB test or chest x-ray within 1 year
  • Measles, Mumps, Rubella, Varicella immunity or vaccination/declination
  • Flu vaccination or medical/religious exemption during flu season (Sept-April)
• HIPAA, Latex Allergy, Confidentiality, Hand Hygiene, Fingernail, Dress Code policies must be reviewed and signed prior to start
• Regulatory Compliance Education through online modules required annually

Additional Requirements

• Must complete unit-specific competency exams annually (including medication/pharmacology competency)
• Unit-specific skills checklist required within 1 year of start
• Two professional references required (supervisors preferred)
• Employment application required
• Badge photo required (head and shoulders, white background, no obstructions, taken within 6 months)

Facility Highlights

• Acute Care Hospital
• Total Staffed Beds: 233
• Charting System: EPIC
• Parking: Free

This position is ideal for experienced RNs comfortable with critical care step down nursing, working night shifts, and meeting comprehensive compliance and certification requirements.