Step-Down Registered Nurse
Auburn, New York
Auburn Community Hospital

Job Opportunity: Step-Down Registered Nurse

Location: Auburn, New York
Employment Type: Travel/Contract
Shift: Day (3 shifts per 12 hours, 7:00 AM – 7:30 PM)
Guaranteed Hours: 36 hours per week
Contract Length: 13 weeks

Unit & Patient Population

• Step-Down unit with patient ratio approximately 1:4-5
• Common diagnoses:

  • Congestive Heart Failure (CHF)
  • Post heart catheterization
  • Post vascular procedures
  • Respiratory failure requiring BiPAP/CPAP/Vapotherm
  • Cardiac dysrhythmias

Unit Procedures & Expectations

• Post-heart catheterization care including TR bands
• Monitoring after vascular procedures
• Frequent vital signs and neurovascular checks

Requirements/Qualifications

• Valid Registered Nurse (RN) license in New York State
• Minimum 2 years of Step-Down nursing experience, with experience within the last year
• BLS (Basic Life Support) certification issued by the American Heart Association
• ACLS (Advanced Cardiac Life Support) certification
• NIHSS (National Institutes of Health Stroke Scale) certification
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
• Cardiac/Emergency skills including:

  • Dysrhythmia interpretation and management
  • PICC line management
  • Procedural sedation administration and monitoring
  • Cardiac drip titration
• Neurological management including CVA/Acute Stroke care

Licensure

• Primary source license verification required prior to start

Assessments & Testing

• Must pass a telemetry assessment (minimum 80%) on cardiac rhythm interpretation on first day of orientation
• Medication/pharmacology competency exam as applicable

Background & Compliance Requirements

• Background check within 1 year covering all locations lived/worked/schooled in past 7 years
• EPLS/GSA/SAM and HHS/OIG checks prior to start
• Drug screening (9 panel) within 30 days of start
• Physical exam completed within 12 months prior to start, signed by licensed provider
• Fit mask test within 12 months, updated annually
• Annual tuberculosis screening questionnaire and negative TB test or chest x-ray as applicable
• Required immunizations or documented immunity:

  • MMR (Measles, Mumps, Rubella)
  • Varicella
  • Hepatitis B (series, titer, or declination)
  • Tetanus/Diphtheria/Tdap (within last 10 years or declination)
  • Seasonal flu vaccine or declination (during flu season)
  • COVID vaccine or declination

Facility-Specific Requirements

• Review and sign facility code of conduct, patient abuse reporting, confidentiality/non-disclosure agreement, and orientation packet acknowledgment
• Complete automated dispensing cabinet security training for Pyxis access

Additional Requirements

• Two professional references within 3 years of hire
• Skills checklist verification required
• New York State Nurse Aide Registry verification (facility requirement)
• New York State Medicaid Exclusion List check

Notes

• Local candidates within 50 miles are accepted (with adjusted pay rate)
• No blocked scheduling; work every other weekend and every other holiday (EOW & EOH)

This position is ideal for experienced Step-Down RNs with strong cardiac, neurological, and respiratory skills seeking a travel contract in New York.