Step-Down Unit Registered Nurse
Saint Louis, MO
Access Healthcare
4x12 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 clearance
• Shift Options: 36 or 48 hours per week
• Patient Ratio: 1:5
• Weekend Requirement: Every other weekend
• On-Call: Not required
• Floating: Yes, within scope to meet facility needs
• Block Schedule: Not accommodated
• Local Candidates: Not accepted within 75-mile radius
• Pending License: Accepted
• Guaranteed Hours: Yes
• RTO Restrictions: No more than 7 days of RTO per 13-week contract

Required Experience & Qualifications

• Valid Registered Nurse (RN) license in Missouri (pending licenses accepted)
• Minimum 2 years of Step-Down nursing experience
• Minimum 2 years of Progressive Care Unit (PCU) experience, with PCU experience within the last year
• Associate of Science in Nursing (ASN) / Associate Degree in Nursing (ADN)
• ACLS (Advanced Cardiac Life Support) certification issued by the American Heart Association
• BLS (Basic Life Support) certification issued by the American Heart Association
• NRP (Neonatal Resuscitation Program) certification
• NIHSS (National Institutes of Health Stroke Scale) certification

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

Facility & Work Environment

• Facility Type: Short Term Acute Care
• Hospital Designations: Magnet & Teaching Hospital, Level I Trauma Center
• Charting System: EPIC
• Uniform Scrub Color: Navy Blue

Compliance & Documentation Requirements

• Government-issued ID required
• Criminal background check within 6 months, including statewide and nationwide searches
• Quarterly EPLS/GSA/SAM and HHS/OIG checks
• Education verification of highest nursing degree
• Professional license primary source verification (NURSYS for Missouri)
• Drug testing within 1 year, must include standard panels
• Physical exam within 1 year of start
• Fit mask testing and annual renewal required
• Immunizations and titers required or declination forms for:

  • Tetanus/Diphtheria/Tdap
  • TB testing or chest X-ray
  • Measles (Rubeola), Mumps, Rubella, Varicella
  • Seasonal flu vaccination or approved exemption
• Facility-specific documents including HIPAA acknowledgement, confidentiality form, hand hygiene, dress code, and orientation modules (approx. 16 hours) must be completed prior to start
• Skills checklist and competency exams as applicable (e.g., medication, dysrhythmia/EKG)

Additional Notes

• Candidates must adhere to facility policies including fingernail and hand hygiene policies
• References: Two professional references required, preferably supervisors within the last year
• No prior travel experience explicitly required

This position offers a structured travel nursing opportunity in a high-acuity step-down unit with a reputable acute care hospital environment.