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)
• Floating: Yes, within scope to lower acuity floors
• Block Scheduling: Not accommodated
• Local Radius Rule: 75 miles
• Pending License Accepted: Yes
• On-call: No

Experience & Requirements

• Specialty: Registered Nurse
• Required Years of Experience: 2 years (must have been at bedside within last 6 months)
• Prior Travel Experience: Not required
• First-time Travelers: Not accepted

Certifications Required

• ACLS (Advanced Cardiac Life Support)
• BLS (Basic Life Support)
• NIH Stroke Certification (required for all nurses)
• Additional certifications may be required depending on unit (e.g., PALS, NRP, TNCC, CPI/MAB) – verify with unit specifics

Clinical Skills & Special Requirements

• Experience with titration of vasopressors, sedation medication, insulin drips
• Management of trach vents, arterial lines, external pacemakers, chest tubes

Facility & Documentation Requirements

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

Background Checks & Compliance

• Criminal background check within 6 months (7-year search including statewide and nationwide)
• EPLS/GSA/SAM and HHS/OIG checks quarterly
• Education verification of highest nursing degree required
• State-specific searches and registries as applicable (Missouri and Illinois)
• Fingerprinting required for Illinois long-term care or rehab units (not for home care)

Health & Immunization Requirements

• Physical exam within 1 year
• Fit mask testing (N95) required annually; onsite fit testing available if needed
• Tdap vaccine or declination required (expires every 10 years)
• Negative TB test or chest x-ray within 1 year (2-step PPD or equivalent)
• Measles, Mumps, Rubella, Varicella immunity or vaccination required
• Drug testing within 1 year, must include specific panels and be valid throughout assignment
• Seasonal flu vaccination or approved exemption required during flu season

Facility-Specific Documents & Training

• HIPAA Acknowledgement, Latex Allergy Questionnaire, Confidentiality Form, Regulatory Compliance Education (annual)
• Hand Hygiene, Fingernail, Dress Code policies acknowledgment
• Orientation modules (~16 hours) required for all RNs (not required for recent BJC travelers)
• Badge photo and facility badge required

References & History

• Two professional references required (supervisors preferred)
• Unit-specific skills checklist within 1 year of start
• Employment application required

Additional Notes

• Must be able to float to lower acuity floors as needed
• No block scheduling or local candidates accepted
• Must meet all facility and state-specific compliance and credentialing requirements prior to start

This position is ideal for experienced RNs with at least 2 years of recent bedside experience, comfortable working nights in a step down acute care setting, and able to meet comprehensive certification and compliance standards.