Step Down Unit RN
Vancouver, WA
Cross Country Nurses
3x12 hrs, Nights
Referral Bonus
$2,155/weekOverview
- Start Date11/30/2026
- Shift Breakdown3x12 hrs
- ShiftNights
- Duration13 weeks
Pay
Benefits
- 401k retirement plan
- Referral bonus
Description
Job Summary
Step Down Unit position on the night shift providing direct patient care to adult patients requiring step-down intensive care monitoring. The role assesses, plans, implements, and evaluates patient care while collaborating with patients, families, and the interdisciplinary care team. The position supports patients with respiratory, cardiac, neurological, and other complex medical conditions.
Job Details
- Schedule: 3 twelve-hour night shifts per week, 6:30 p.m. to 7:00 a.m., with a minimum of 36 hours per week.
- Required Qualifications:
- Minimum of 2 years of nursing experience.
- Prior travel nursing experience required.
- Advanced Cardiovascular Life Support (ACLS), Basic Life Support (BLS), and National Institute of Health Stroke Scale (NIHSS) certifications required.
- Experience caring for adult step-down patients with a typical nurse-to-patient ratio of 1:3.
- Experience with Epic electronic medical record documentation required.
- Proof of Washington state license application required at submission; an active Washington license is not required at submission.
- Additional Information:
- Provides care for patients requiring supplemental oxygen, high-flow nasal cannula, bilevel positive airway pressure or continuous positive airway pressure, chronic ventilator support through a tracheostomy, cardiac drips without vasopressors, chest tubes, diabetic ketoacidosis, non-ST-elevation myocardial infarction, stroke without medical intervention, and other complex conditions.
- Performs continuous telemetry monitoring using in-room, nurse-station, and remote central monitoring systems.
- Responsibilities include cardiac and dysrhythmia monitoring, central line and peripherally inserted central catheter care, blood product administration, hemodialysis support, tracheostomy care, wound care, neurological assessments, seizure precautions, insulin protocols, and management of cardiac and vasoactive drips.
- May float to the emergency department and medical-surgical areas and may perform functional assignments when not needed as a primary nurse in intensive care or step-down areas.
- Flu vaccination is required; medical and religious exemptions may be considered.
- Two professional references from the past 2 years are required, including at least one supervisor or charge nurse reference.
Benefits
The benefits of taking a travel assignment with Cross Country include:
- Private housing or generous housing allowance
- Comprehensive health insurance with prescription coverage
- Dependent health insurance with prescription coverage
- Competitive salaries
- Referral bonuses
- Travel reimbursement
- 401(k) retirement plan
- Direct deposit/free checking
- Unlimited free CE credits
Employer
Cross Country Nurses
11 nurses recommend working with Cross Country Nurses
You care for others — we’re here to care for you. At Cross Country, we know travel nursing is about more than just the job. It’s about building a career that supports your lifestyle, your values, and your impact. We offer competitive pay, full benefits, and 24/7 support from a team that truly understands what it means to be on the front lines. Wherever your journey takes you, we’re with you every step of the way. Let’s build your best life — one assignment at a time.
Vancouver, WA
About
Founded in 1824 as Fort Vancouver by the Hudson’s Bay Company, Vancouver is Washington State’s oldest city. It’s in the state's southwest region, just north of the Oregon state line, and connected to the Portland Metropolitan Area by two bridges crossing the Columbia River. Outdoorsy locals and visitors appreciate Vancouver’s many parks, including Esther Short Park. You also have access to the state's oldest town square, housing a community theater within an 1867 home, where a free movie and concert series takes place in July and August. At Old Apple Tree Park, visitors marvel at what's believed to be the oldest apple tree in the Pacific Northwest, planted in 1826. It's easy to stay active while enjoying the outdoors. The five-mile paved Waterfront Renaissance Trail runs from downtown east along the Columbia River to Wintler Community Park, which includes a beach area.
Browse similar jobs
PCU RN
- Spokane, WA
- Bestica
- 4x12 hrs, Nights
- Referral Bonus
PCU/Stepdown RN
- Spokane, WA
- Bestica
- 4x12 hrs, Nights
- Referral Bonus
PCU/Stepdown RN
- Spokane, WA
- Bestica
- 4x12 hrs, Nights
- Referral Bonus