Stepdown RN
Saint Louis, Missouri
Christian Hospital

Registered Nurse - Step Down Nights

Overview

• Location: Saint Louis, Missouri
• Setting: Acute care hospital, 233 staffed beds
• Unit: Step Down Unit
• Contract length: 13 weeks
• Ratio: 1:4
• Scrub color: Navy
• Charting system: EPIC
• Parking: No cost

Schedule

• Shift: Night, 3x12 hours (19:00 to 7:30)
• Hours: 36 hours per week, guaranteed
• Weekends: 2 shifts every other weekend. Night shifts may be Friday/Saturday or Saturday/Sunday, depending on the current rotation.
• On-call: No
• Block schedule: Not accommodated
• RTO restrictions: None
• Float: Yes, may float within scope to lower-acuity floors

Required Qualifications

• Valid RN license in Missouri
• 2 years of Stepdown experience
• Stepdown experience within the last year
• One completed travel assignment
• ACLS (Advanced Cardiac Life Support) issued by the American Heart Association
• BLS issued by the American Heart Association
• NIHSS certification
• Associate of Science in Nursing (ASN) / Associate Degree in Nursing (ADN)
• Experience with titratable drips
• Experience with conscious or moderate sedation
• Experience with tracheostomy care
• Experience with mechanical ventilation
• Experience with the care and management of invasive lines
• Experience with external pacemakers
• Experience with chest tubes

Candidate Eligibility

• First-time travelers: Not accepted
• Local candidates: Not accepted. Local radius rule is 75 miles.

Background and Health Clearances

• Criminal background check: Within 6 months of start, with a 7-year search
• Exclusion checks: EPLS/GSA/SAM and HHS/OIG, both run quarterly
• Missouri checks: MO EDL search and MO Highway Patrol Check (renewed annually)
• Education verification: Highest nursing-related education required
• Drug screen: Within 1 year of start, must not expire during assignment. Panel includes amphetamines, barbiturates, benzodiazepines, cocaine, methadone, opiates, oxycodone, and PCP.
• Physical exam: Within 1 year of start
• TB: Two negative PPDs (first within 1 year, second within 30 days of start), or a negative T-Spot or Q-Gold within 1 year of start. Yearly TB questionnaire required.
• Immunity: Positive titer, two vaccines, or MD statement of immunity for rubeola, mumps, rubella, and varicella
• Tdap: Vaccine or declination required
• Hepatitis B: Facility declination required
• Flu: Vaccine or medical/religious exemption required during flu season (10/01 to 03/31)
• Respirator fit test: Required. Acceptable N95 models are 3M VFlex 1804 and 3M 1860.

Onboarding and Orientation

• Orientation modules: About 16 hours, completed online before start
• Required documents: Badge photo taken within 6 months of start, employment application, references (two professional references required), unit-specific skills checklist within 1 year of start, unit-specific competency exam (updated annually), HIPAA acknowledgement, confidentiality form, latex allergy questionnaire, regulatory compliance education (80% to pass), SSN and DOB confirmation
• Policies to review and sign: Hand hygiene, fingernail policy, and dress code