Step Down Registered Nurse
Saint Louis, MO
Malone Healthcare - Nursing
3x12 hrs, Nights
Referral Bonus
$2,195/weekOverview
- Start Date05/04/2026
- Shift Breakdown3x12 hrs
- ShiftNights
- Duration13 weeks
Pay
- Estimated taxable pay$648/week
- Estimated non-taxable stipends$1,547/week
Benefits
- Weekly pay
- Holiday Pay
- Guaranteed Hours
- Continuing Education
- 401k retirement plan
- Pet insurance
- Referral bonus
- Medical benefits
- Dental benefits
- Vision benefits
- License and certification reimbursement
- Life insurance
Description
🏥 Position Overview
- Unit: Step Down (Progressive Care)
- Shift: Nights — 3x12s
⏰ 19:00 – 07:30 - Weekly Hours: 36 (guaranteed)
👩⚕️ Patient Load & Acuity
- Ratio: 1:4
- Patient Type: Higher-acuity step-down (borderline ICU-level skills required)
You’ll be managing patients who are stable enough for step-down but still require advanced monitoring and interventions.
⚙️ Required Clinical Skills
You must be comfortable with:
- Ventilator management
- Titration of:
- Vasopressors
- Sedation drips
- Insulin drips
- Managing:
- Trachs
- Arterial lines
- External pacemakers
- Chest tubes
📌 Important: Must have been actively working bedside within the last 6 months
📋 Experience & Credentials
- Experience Required: 2+ years
- First-time travelers: ❌ Not accepted
- Certifications Required:
- ACLS
- BCLS
- NIH Stroke Scale
🗓️ Scheduling Details
- Weekend Requirement:
- Every other weekend
- Nights:
- Either Friday/Saturday OR Saturday/Sunday (depends on rotation)
- Block Scheduling: ❌ Not available
- On-call: ❌ None
🔄 Floating
- Yes — within scope
- Typically to lower-acuity units (not ICU-level)
📍 Traveler Considerations
- Local Radius Rule: 75 miles (locals not accepted)
- Pending License: ✅ Accepted
- RTO (Time Off): No major restrictions listed
🏨 Facility Details
- Type: Acute Care Hospital
- Beds: 233
- Charting System: EPIC
- Scrubs: Navy
- Parking: Free
Employer
Malone Healthcare - Nursing
With a commitment to providing a higher standard of service and experience in patient care, Malone Healthcare places expert nurses and allied health professionals in rewarding careers throughout the United States. As a leading healthcare staffing agency, Malone’s focus on compliance and integrity translates to a seamless experience for our team members and partner facilities. When you work with Malone Healthcare, you can rely on over 50 years of proven experience placing exceptional professionals in quality healthcare settings.
About Saint Louis, MO
As a Travel Stepdown Nurse in Saint Louis, MO here's what you should know:- The cost of living in Saint Louis is lower than the national average, making it an affordable city for travel nurses.
- Wages generally match up with the lower cost of living.
- Summer average highs are around 89°F, and winter average lows are around 23°F.
- Short term rentals are relatively easy to find in Saint Louis, with options ranging from furnished apartments to corporate housing.
- Saint Louis is car-friendly, but it also has a public transportation system including buses and a light rail system called Metrolink.
- Saint Louis has a diverse population with a wide age range.
- Common health issues include heart disease and obesity.
- There is a large population of travel nurses due to the presence of multiple healthcare facilities.
- Saint Louis offers a variety of activities including a vibrant restaurant scene, art museums like the Saint Louis Art Museum, live music venues, sports events such as baseball games at Busch Stadium, and outdoor attractions like the Missouri Botanical Garden and Forest Park.
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