Travel Nurse RN - Stepdown
Grand Island, NE
Malone Healthcare - Nursing
3x12 hrs, Days, Nights
Referral Bonus

Stepdown RN – Manager Interview Summary

Unit Overview

• Department: Stepdown
• Beds: 33
• Patient Population:
  • Young adult to geriatric patients
  • Sepsis, STEMI, CHF, chest pain
  • COVID, stroke, renal failure
  • COPD, DKA
  • Complex, multi-system failure cases
• Nurse-to-Patient Ratio: 1:4–5

Experience & Clinical Expectations

• Strong experience managing high-acuity stepdown patients
• Must be comfortable with frequent admits/discharges within short timeframes
• Required to titrate drips
• Common Drips:
  • Heparin
  • Amiodarone
  • Cardizem
  • Nitroglycerin
  • Insulin
  • IV antibiotics

Certifications & Requirements

• Required:
  • BLS
  • ACLS
  • NIHSS
• Compliance Requirements:
  • Driver’s license required at submission (used to verify 50-mile radius rule)
  • Radius Rule: Must live outside 50 miles
  • Cannot be employed (FT/PT/PRN) with any CommonSpirit/CHI/Dignity facility
• Additional Policies:
  • Artificial nails are strictly prohibited
  • Exam Requirement:
    • Open-book test during orientation (Friday)
    • Must score 90% or higher or contract will be terminated

Support & Staffing

• Charge Nurse: Yes (takes assignment)
• CNAs: Approx. 1:10 ratio (varies with census)
• Respiratory Support Equipment:
  • BiPAP
  • Airvo (High Flow)
• Telemetry:
  • Monitor techs available
  • RNs must read and interpret strips independently

Scheduling

• Shifts:
  • Days: 0630–1900
  • Nights: 1830–0700
• Scheduling: Unit scheduler assigns (no self-scheduling)
• Weekend Requirement: Every other weekend
• Holidays: As needed

Floating

• May float to:
  • Med-Surg
  • Inpatient Rehab
  • Skilled Care

Orientation

• Week 1: Classroom
• Unit Training: 2 shifts (12-hour) on the floor

Additional Notes

• High patient turnover (admissions/discharges within same shift)
• Ideal candidate traits:
  • Team-oriented
  • Positive, adaptable attitude
  • Strong communication skills
  • Commitment to bedside report & hourly rounding
• RTO Policy:
  • Must be submitted upfront (max 7 days per 13-week contract)
  • Additional RTO not approved after submission
• Dress Code: Navy blue scrubs