Step Down Registered Nurse
Waco, TX
Access Healthcare
4x10 hrs, Days

Travel RN - Step Down Unit

Location: Waco, Texas
Employment Type: Travel
Contract Length: 13 weeks

Job Description

• Minimum 3 years of RN Step Down experience required
• Clinical skills and experience with:

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

Required Qualifications

• Current RN license in Texas with primary source verification within 30 days prior to assignment start
• BLS certification (American Heart Association)
• ACLS certification (American Heart Association)
• Completion of specialty competency exams and assessments including:

  • Ascension Specialty Exam
  • Ascension Core Competencies
  • Ascension EKG Exam
  • Ascension Epic Test-Out
• Annual or periodic certifications and trainings including:

  • NIH Certification
  • Ascension Color Vision Test
  • Ascension Skills Checklist (clinical, updated annually)
• Health and immunization requirements:

  • MMR (2 vaccines or positive titer, no declinations)
  • Hepatitis B vaccination or signed declination
  • Influenza vaccine (seasonal, exemptions accepted with mask requirement)
  • Varicella immunity or vaccination (no declinations)
  • Tdap vaccine (valid for 10 years, no declinations)
  • TB screening: Positive IGRA or PPD results, negative chest X-ray within 1 year, annual TB questionnaire
  • Fit Test for respiratory protection (updated annually)
  • 2 Step PPD or IGRA within required timeframes
• Drug screening: 12 panel drug screen within 30 days prior to start, updated annually
• Background and verification checks:

  • Criminal background check including SSN trace, OIG, National Sex Offender, and others within 30 days prior to start
  • Employment verification for past 7 years
  • Education verification within 90 days prior to start
  • Professional references (at least two) prior to first assignment
• Other onboarding requirements:

  • Health statement or physical exam prior to first assignment, updated annually
  • Driver’s license or state ID (valid, matching address requirements)
  • Completion of Ascension-specific onboarding modules and attestations

Prior Travel Experience

• Not explicitly required

Summary

This is a travel RN position in a Step Down unit requiring at least 3 years of relevant experience with advanced cardiovascular and critical care skills. The role demands multiple certifications, immunizations, and compliance with extensive onboarding and competency requirements. Prior travel experience is not stated as a requirement.