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

Job Opportunity: Step-Down Registered Nurse

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

Position Details

• Specialty: Registered Nurse (Step-Down Unit)
• Start Date: Approximately 3-4 weeks from compliance completion
• Patient Ratios: 1:5
• Required Years of Experience: 2 years
• Weekend Requirement: Every other weekend
• On-Call: Not required
• Floating: Yes, within scope to meet facility needs
• Block Scheduling: Not accommodated
• Local Candidates: Not accepted (75 mile radius rule)
• Pending License: Accepted
• Return to Office (RTO) Restrictions: No more than 7 days of RTO per 13-week contract
• Guaranteed Hours: Yes

Clinical & Specialty Requirements

• Experience with common surgical procedures including:

  • Coronary artery bypass graft (CABG)
  • Mitral valve repair or replacement (MVR)
  • Aortic valve repair or replacement (AVR)
  • Aortic aneurysm repair
  • Maze procedure
  • Transcatheter aortic valve replacement (TAVR)
  • Heart transplant
  • Left ventricular assist device (LVAD) implant

Certifications Required

• ACLS (Advanced Cardiac Life Support) - AHA only
• BLS (Basic Life Support) - AHA only

Facility Highlights

• Type: Short Term Acute Care
• Magnet & Teaching Hospital
• Level I Trauma Center
• Total Staffed Beds: 1,273
• Charting System: EPIC

Compliance & Background Requirements

• Government-issued ID required
• Criminal background check within 6 months (7-year search including statewide, nationwide, and international if applicable)
• EPLS/GSA/SAM and HHS/OIG checks quarterly
• Education verification of highest nursing degree required
• State-specific background checks and registries as applicable
• Drug testing within 1 year of start, must include comprehensive panel and be valid throughout assignment
• Physical exam within 1 year of start
• Fit mask testing required and must be renewed annually
• Immunizations and health documents required:

  • Tetanus/Diphtheria/Tdap (expires every 10 years)
  • Negative TB test or chest X-ray (2 negative PPDs or equivalent)
  • Measles (Rubeola), Mumps, Rubella, Varicella immunity or vaccination/declination as applicable
  • Seasonal flu vaccination or approved exemption during flu season
• Various facility-specific documents including HIPAA acknowledgement, confidentiality form, latex allergy questionnaire, hand hygiene, fingernail, and dress code policies must be reviewed and signed prior to start
• Orientation modules required for all RNs, completed through online platform (approx. 16 hours)

Competency Exams

• Medication Test/Pharmacology Competency Exam (as applicable)
• Unit-specific competency exam, updated annually
• Dysrhythmia/EKG competency exam required within 1 year of start and updated annually for Step-Down and related units

Additional Notes

• Candidates must comply with all facility policies and complete required documentation prior to start
• Prior travel experience is not explicitly required for this position
• References: Two professional references required, preferably supervisors within the last year

This position offers a structured travel nursing opportunity in a high-acuity step-down unit with a reputable Magnet and teaching hospital in Saint Louis, Missouri. The role requires a minimum of 2 years of RN experience with relevant cardiac and surgical patient care expertise.