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

Registered Nurse – Step Down Unit (Night Shift)

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

Unit & Shift Details

• Unit: Step Down (Acute Care Hospital)
• Shift: Nights, 3 shifts of 12 hours (19:00 – 7:30)
• Guaranteed Hours: 36 hours per week
• Patient Ratio: 1 nurse to 4 patients
• Weekend Requirement: 2 shifts every other weekend (Friday/Saturday or Saturday/Sunday for night shift)
• Floating: May float to lower acuity floors within scope
• Local Radius Rule: 75 miles (locals not accepted)
• First-time travelers not accepted
• Must have been at bedside within last 6 months

Required Experience & Skills

• Minimum 2 years of Registered Nurse experience
• Experience with ventilators, titration of vasopressors, sedation medications, insulin drips, tracheostomy vents, arterial lines, external pacemakers, and chest tubes
• No prior travel experience required

Required Certifications

• ACLS (AHA only; certs of completion accepted up to 1 month)
• BLS (AHA only; certs of completion accepted up to 1 month)
• NIH Stroke Certification (required for all nurses; must be updated annually)
• Additional certifications may be required based on unit (verify during onboarding)

Licensure

• Active Registered Nurse license for Missouri accepted (pending license accepted)
• Primary source verification required (NURSYS for Missouri)

Compliance & Background Requirements

• Government-issued ID required
• Criminal background check within 6 months (7-year search including statewide and nationwide)
• Quarterly EPLS/GSA/SAM and HHS/OIG checks
• Education verification of highest nursing degree required
• State-specific searches and registries as applicable
• Drug testing within 1 year, including comprehensive panel (amphetamines, barbiturates, benzodiazepines, cocaine, methadone, opiates, oxycodone, PCP)
• Physical exam within 1 year of start
• Fit mask testing (N95) required and must be renewed annually
• 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 as applicable
  • Seasonal flu vaccination or approved exemption during flu season (Sept 30 – Apr 1)

Additional Facility Requirements

• Badge photo (head and shoulders, white background, no obstructions, taken within 6 months)
• HIPAA Acknowledgement, Latex Allergy Questionnaire, Confidentiality Form, Hand Hygiene Policy, Fingernail Policy, Dress Code Policy signed prior to start
• Regulatory Compliance Education completed annually via online training
• Unit-specific competency exams and skills checklists required annually
• Two professional references required (supervisors preferred)
• Employment application must be submitted and uploaded

Special Notes

• No on-call required
• No block scheduling accommodations
• Parking is free
• Charting system: EPIC
• Scrub color: Navy

Requirements / Qualifications

• Valid Registered Nurse (RN) license in Missouri
• Minimum 2 years of experience in Progressive Care Unit (PCU) / Step Down Unit, with at least 1 year of recent PCU experience
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
• Current ACLS certification issued by the American Heart Association
• Current BLS certification issued by the American Heart Association
• NIH Stroke Scale (NIHSS) certification
• Experience with titration of vasopressors/pressors
• Experience with insulin drips
• Experience managing tracheostomy ventilators (trach vents)
• Experience with arterial lines (art lines)
• Experience with external pacemakers
• Experience with chest tubes