Travel Nurse RN - Stepdown
Auburn, NY
First Connect Health
3x12 hrs, Nights
Referral Bonus

Registered Nurse (RN) – Step-Down Unit

Specialty: Step-Down / Progressive Care
Experience Required: 2+ years of recent Step-Down experience
Guaranteed Hours: 36 hours/week
Patient Ratio: 1:4–5
Medication System: Pyxis

Position Overview

We are seeking an experienced Step-Down RN with at least 2 years of recent Step-Down/Progressive Care experience. The ideal candidate should be comfortable caring for high-acuity cardiac, vascular, neurological, and respiratory patients requiring close monitoring and advanced nursing interventions.

Patient Population

Common diagnoses and patient conditions include:

• Congestive Heart Failure (CHF)
• Post-heart catheterization patients
• Post-vascular procedure patients
• Respiratory failure requiring BiPAP, CPAP, or Vapotherm
• Cardiac dysrhythmias
• CVA / acute stroke patients

Key Responsibilities

• Provide comprehensive care for Step-Down/PCU patients
• Maintain a 1:4–5 nurse-to-patient ratio
• Perform continuous cardiac monitoring and dysrhythmia interpretation
• Provide post-heart catheterization care
• Manage and monitor TR bands
• Perform post-vascular procedure assessments
• Complete frequent vital signs and neurovascular checks
• Manage patients requiring non-invasive respiratory support
• Administer medications and emergency medications
• Monitor and titrate cardiac drips
• Perform and interpret 12-lead EKG/ECGs
• Provide CVA and acute stroke care

Required Clinical Skills

Cardiac / Emergency

• Cardiac monitoring
• Dysrhythmia interpretation and management
• 12-lead EKG/ECG
• Emergency medication administration
• Procedural sedation administration and monitoring
• Cardiac drip titration

IV / Vascular

• IV insertion and maintenance
• PICC line management
• Blood product administration

Neurological

• CVA / Acute Stroke management
• NIHSS assessment

Respiratory / Thoracic

• BiPAP / CPAP management
• Vapotherm experience
• Assist with chest tube insertion/removal

Certifications Required

• BLS
• ACLS
• NIHSS

Professional & Safety Skills

• Infection prevention practices
• Isolation precautions and proper PPE use
• Phlebotomy
• Strong assessment and critical-thinking skills
• Ability to manage multiple high-acuity patients in a fast-paced environment

Schedule & Contract Details

• 36 hours guaranteed per week
• Every Other Weekend (EOW)
• Every Other Holiday (EOH)
• No blocked scheduling
• Local candidates accepted

Local Rate

Important: Candidates living within 50 miles of the facility are considered local, and the bill rate is $15 lower than the travel rate.

Why This Opportunity?

This is an excellent opportunity for an experienced Step-Down RN to work with a diverse, high-acuity patient population involving cardiac, vascular, respiratory, and neurological conditions. The role provides strong exposure to cardiac monitoring, drip titration, post-procedure care, stroke management, and advanced respiratory support.