Step Down Unit RN
San Francisco, CA
Cross Country Nurses
3x12 hrs
Referral Bonus

Job Summary

Registered Nurse, Step Down Unit. This role provides care for adult and geriatric patients with complex medical conditions, including respiratory failure, sepsis, renal disease, liver disease, cardiac dysrhythmias, and substance withdrawal. The position involves rotating 12-hour shifts in a fast-paced setting with frequent transfers, high-acuity interventions, respiratory care, and collaboration with interdisciplinary teams.

Job Details

• Schedule: Rotating 12-hour shifts, 36 hours per week.
• Required Qualifications:
  • Active California Registered Nurse (RN) license in hand.
  • Bachelor of Science in Nursing (BSN).
  • Basic Life Support (BLS) certification.
  • Minimum of 2 years of telemetry experience.
  • Travel nursing experience.
  • Teaching hospital experience.
  • Experience with Clinical Institute Withdrawal Assessment (CIWA), Electrocardiogram (EKG) and cardiac rhythm recognition, and tracheostomy care.
  • Experience using Epic electronic medical record systems.
• Preferred Qualifications:
  • Advanced Cardiovascular Life Support (ACLS) certification.
  • Progressive Care Certified Nurse (PCCN) certification.
• Float: Float rotation may be required.
• Additional Information:
  • Patient assignment ratio of 3:1 on days, nights, and weekends.
  • Care is provided for adult and geriatric patients with multiple comorbidities and complex medical and social histories.
  • Clinical conditions may include end-stage renal disease, end-stage liver disease, altered mental status, alcohol use disorder, sepsis, pneumonia, sickle cell disease, respiratory failure, acute-on-chronic pain, cellulitis, infectious disease evaluations, and new-onset atrial fibrillation.
  • Frequent transfers to the Intensive Care Unit (ICU), rapid response team involvement, and frequent movement for procedures and imaging may be required.
  • Respiratory care responsibilities include tracheostomy suctioning and management, high-flow nasal cannula (HFNC) care, and noninvasive airway management.
  • The role may include telemetry monitoring, cardiac dysrhythmia management, central and peripheral line care, arterial line management, blood product administration, chest tube care, insulin protocols, wound care, dialysis-related care, and management of feeding tubes and surgical drains.
  • Two references from the most recent employer are required at submission.
  • Requested time off must be disclosed at submission and approved before the assignment begins.

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