Stepdown RN
Saint Louis, MO
Access Healthcare
4x12 hrs, Days

RN Telemetry/Step-Down

Location: Saint Louis, Missouri Employment type: Travel/Contract Contract length: 13 weeks Start date: 3-4 weeks out, depending on compliance tier Guaranteed hours: Yes

Schedule and Assignment

• Shift: Day, 4x12 hours (7:00-19:30)
• Hours: Can sign for 36 or 48 hours per week
• Weekends: Every other weekend
• Ratios: 1:4-5
• On-call: Not required
• Block schedule: Not accommodated
• Float: Clinician may float within scope to meet facility needs
• Locals: Not accepted; 75-mile local radius rule
• Time off: No more than 7 days of RTO per 13-week contract

Required Qualifications

• Licensure: Valid RN license in Missouri; Professional license with primary source verification; Nursys verification required. Pending license accepted.
• Education: Associate of Science in Nursing (ASN) / Associate Degree in Nursing (ADN)
• Experience: 2 years of Stepdown experience required; Stepdown experience within the last year
• Clinical experience: Telemetry experience; experience working with cardiac patients; experience with cardiac drips; EGG experience
• Certifications: ACLS (Advanced Cardiac Life Support) issued by the American Heart Association; BLS issued by the American Heart Association. Certificates of completion accepted for up to 1 month until the card is issued.
• Competency exams: Basic Dysrhythmia exam, required for Step Down and Telemetry RNs; must be completed for each new contract. Unit-specific competency exam, updated annually. Medication/pharmacology competency exam, as applicable.
• Skills: Unit-specific skills checklist completed within 1 year of start

Onboarding Requirements

• Criminal background check within 6 months of start, with a 7-year search; quarterly EPLS/GSA/SAM and HHS/OIG checks
• Drug screen within 1 year of start, covering the specified panels, including oxycodone
• TB: two negative PPDs (one within 1 year, one within 30 days of start), or a T-Spot/Q-Gold within 1 year
• Measles, mumps, rubella, and varicella immunity (positive titer, two vaccines, or MD statement)
• Tdap vaccine or declination
• Flu vaccine or exemption during flu season (10/01-03/31)
• N95 fit test
• Physical exam within 1 year of start
• Two professional references
• Employment application
• Education verification
• Badge photo taken within 6 months of start
• Annual facility policy acknowledgments (HIPAA, confidentiality, hand hygiene, fingernail, dress code, latex allergy)
• Regulatory compliance education with a score of 80% or higher, and orientation modules (approximately 16 hours)

Facility Details

• Facility type: Short-term acute care
• Designations: Magnet and teaching hospital; Level I trauma center
• Total staffed beds: 1,266
• Scrub color: Navy blue
• Charting system: Epic