Med Surg RN
Saint Louis, MO
Care Career
4x12 hrs, Days
Referral Bonus

RN – Tele/Step-Down

Shift: Day | 4x12-Hour | 7:00 AM–7:30 PM
Schedule: Every other weekend
Duration: 13 weeks
Guaranteed Hours: 36 or 48 hours/week
Call: No
Floating: Yes, within scope to meet facility needs
Block Schedule: No
Local Candidates: Not accepted within 75 miles

Position Details

• Specialty: Tele/Step-Down RN
• Experience Required: 2 years
• Patient Ratio: 1:4–5
• Patient Population: Adults
• Daily Census: 32
• Unit Beds: 32
• Charting: EPIC
• Facility: Short-Term Acute Care
• Facility Type: Magnet & Teaching Hospital
• Trauma: Level I Trauma Center
• Staffed Beds: 1,266
• Scrubs: Navy Blue

Required Certifications

• BLS
• ACLS

Required Experience & Skills

• Telemetry/Step-Down experience
• EKG/EKG interpretation
• Cardiac drips
• Cardiac telemetry
• Interpretation and management of dysrhythmias
• Central line and PICC management
• Chest tubes
• CBI
• Heparin protocols
• IV insulin protocols
• Pacemaker/AICD care
• Post-cardiac catheterization care
• Pre/Post cardiac surgery
• Starting and maintaining IVs
• TR Band
• Wound care/Wound VAC
• Oxygen administration
• Blood product administration

Important: Candidates may be screened if any required skills are missing. A Relias EKG test is required.

Common Patient Diagnoses

• CHF
• Arrhythmias / A-fib / A-flutter
• ACS / STEMI / NSTEMI
• Heart valve disease
• CAD
• Pulmonary hypertension
• Hypertensive crisis
• Chest pain, shortness of breath, syncope
• Pacemaker/AICD malfunction
• Acute renal failure

Procedures & Services

• Cardiac catheterization
• Pacemaker/AICD placement
• Echocardiogram
• Treadmill and nuclear stress tests
• Cardiac MRI/CT
• Cardioversion/Ablation
• Carotid Doppler
• Pulmonary function testing
• Anti-arrhythmic drug loading

RTO & Compliance

• Maximum 7 days of RTO per 13-week contract
• All RTO must be finalized at submission
• No RTO during the first week
• Pending license accepted
• No COVID vaccine required
• Flu vaccine required; medical/religious exemptions allowed
• Compliance deadline: 3 PM CST on the Monday before the week of start
• Labs required within 48–72 hours of signing
• Travelers must meet fit-testing requirements
• Modules required before start

Start Date: Approximately 3–4 weeks out based on compliance tier.