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

Job Opportunity: Step Down Nurse (Night Shift)

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

Unit & Shift Details

• Unit: Step Down Unit
• Shift: Nights
• Patient Ratio: 1:4
• Guaranteed Hours: 36 hours per week (3 shifts of 12 hours)
• Weekend Requirement: 2 shifts every other weekend (Friday/Saturday or Saturday/Sunday for night shift)
• Floating: Yes, may float to lower acuity floors within scope
• Block scheduling: Not available
• Local candidates within 75 miles radius are not accepted
• Pending license accepted

Required Experience & Skills

• Minimum 2 years of Registered Nurse experience (specialty experience requirement)
• Must have recent bedside experience within the last 6 months
• Experience required with:

  • Ventilator management
  • Titration of vasopressors
  • Insulin drips
  • Sedation medications
  • Trach vents
  • Arterial lines
  • External pacemakers
  • Chest tubes

Certifications & Licenses Required

• Registered Nurse license valid in Missouri (pending license accepted)
• ACLS (Advanced Cardiac Life Support)
• BLS (Basic Life Support)
• NIH Stroke Certification (required for all nurses)
• Other certifications may be required based on unit specifics (e.g., PALS, NRP, TNCC) – verify with recruiter

Additional Requirements

• Must pass a criminal background check (including statewide and nationwide searches)
• Education verification of highest nursing degree required
• Drug testing within 1 year of start, must remain valid throughout assignment
• 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 required timeframe
  • Measles, Mumps, Rubella, Varicella immunity or vaccination/declination
  • Seasonal flu vaccination or approved exemption during flu season
• Completion of facility-specific compliance documents and training prior to start (HIPAA, confidentiality, hand hygiene, dress code, etc.)
• Professional references required (two, preferably supervisors within last year)
• Unit-specific competency exams and skills checklists required and must be current

Requirements / Qualifications

• Valid RN license in Missouri
• Associate of Science in Nursing / Associate Degree in Nursing
• Minimum 2 years of experience in Step Down (Step Down Unit) nursing
• Minimum 2 years of experience in PCU - Progressive Care Unit nursing
• PCU - Progressive Care Unit experience within the last year
• One completed travel assignment
• Recent bedside experience within the last 6 months
• Experience with ventilator management
• Experience with trach vents
• Experience titrating vasopressors
• Experience with insulin drips
• Experience with sedation medications
• Experience with arterial lines
• Experience with external pacemakers
• Experience with chest tubes
• ACLS certification
• BLS certification issued by American Heart Association
• NIH Stroke Scale (NIHSS) certification

Work Environment

• Acute Care Hospital setting
• Charting system: EPIC
• Parking: Free
• Scrub color: Navy

Notes

• First-time travel nurses are not accepted for this position
• On-call is not required
• No restrictions on return to work
• Must comply with all facility policies and complete required orientation modules

This position is ideal for experienced step down nurses comfortable with critical care skills and looking for a travel contract in Missouri with a reputable acute care hospital.