Stepdown RN
Peoria, Illinois
OSF Saint Francis Medical Center

Stepdown Care Unit RN (Registered Nurse)

Location: Peoria, Illinois Contract Length: 13 weeks Shift: Nights, 12-hour shifts (36 hours per week)

Required Qualifications

• Active Illinois RN license, or confirmation that the application process has been initiated
• BLS certification
• ICU or intermediate (stepdown) experience with a 3:1 or 2:1 nurse-to-patient ratio. Progressive care or telemetry experience is not adequate.
• Trach and vent experience (patients on the unit are frequently trached and ventilated)
• Ability to titrate drips

Preferred Qualifications

• ACLS certification

Unit Details

• Department: Stepdown
• Beds: 21 (9 private rooms, remainder semi-private)
• Nurse-to-patient ratio: 3:1
• Combined unit: Medical, neuro, neuro surgical, general/trauma surgical, and trauma patients
• Patient mix: Includes COPD, CHF, DKA, sepsis, ESRD on dialysis, stroke, seizures, post-op craniotomy, trach/vent patients, and patients with chest tubes, central lines, arterial lines, PICC lines, and other complex lines and tubes
• Drips: Cardene, Cardizem, Amiodarone, Dobutamine, Heparin, and vasopressors (low dose or infrequent titration)
• Monitoring: All patients on bedside monitors. Tele techs interpret strips and RNs confirm.
• Support staff: 2 PCTs per shift, each taking up to 10 patients if the unit is full
• Charge nurse: Available each shift; takes an assignment only if staffing is not ideal
• House supervisor: Available 24/7

Schedule

• Shifts: 0700-1930 or 1900-0730, assigned to one shift
• Weekends: Every other weekend. Night shift works Friday/Saturday; day shift works Saturday/Sunday.
• Holidays: Every other holiday rotation; works the companion day of major holidays
• On-call or standby: None
• Call-off policy: 12 hours every 13 weeks with no penalty or need to pay for the shift
• Scheduling: Travel RNs work with the unit supervisor on scheduling

Float Policy

• Travel RNs are first to float.
• Can float to ICU only with extensive ICU experience. Otherwise, float to other stepdown or general medicine units.
• Float assignments follow the acuity of the unit. Example: ICU 2 patients, stepdown 3 patients, general medicine 5-6 patients.

Orientation

• 12 non-billable hours; guaranteed hours do not apply during orientation
• 1 day of electronic medical record training, 1 day of unit orientation with the educator, and 1 day on the floor with an RN

Other Information

• Drug-free campus; must pass a drug screen with a negative result on all panels
• Scrubs in any color
• Accepts local placements within a 50-mile radius
• Requested time off must be submitted with the application.
• Last four digits of SSN and middle initial required for submission