Step Down Unit Registered Nurse
Newburgh, Indiana
Deaconess Gateway Hospital

Registered Nurse – Step Down Unit

Location: Newburgh, Indiana
Employment Type: Travel
Contract Length: 13 weeks

Job Details

• Shift: 12-hour days (6:30 AM – 7:00 PM)
• Guaranteed Hours: 36 hours per week (48 hours accepted upon request)
• Overtime: Begins after 52 hours on 48-hour contracts
• Float Requirement:

  • First to float within skillset
  • Possible float to nearby campuses (8-11 miles away) with 2-hour notice for cross-campus float
  • Mid-shift float within same campus; cross-campus mid-shift float unlikely but possible
• Weekend/Holiday Requirement:

  • Work three weekends every six-week schedule
  • Every other holiday
• On Call/Call Back: Not required
• Unit Info:

  • 16 beds
  • Day shift nurse-to-patient ratio: 1:3-4
  • Night shift nurse-to-patient ratio: 1:3-4 (1:5 for Med/Surg)
  • Charge nurse patient assignment ratio: 1:2
• Unit Culture: Strong CNA support, helpful charge nurses, excellent teamwork
• Dress Code: Navy blue scrubs only; no competing health system or agency logos
• Attendance Policy: More than 3 call-ins may result in termination
• Teaching Hospital: May require precepting students and new hires
• COVID-19 Vaccine: Not required (subject to change)

Patient Population

• Cardiac patients (post catheterization, stents/interventions, pacemakers)
• CIWA/BH (withdrawal/behavioral health)
• Sepsis, DKA, CVA
• CPAP patients, feeding tubes
• Post-operative craniotomy (POD 2)
• GI bleeds
• Hypothermic patients (bear hugger warming)

Required Qualifications

• Licensure: Current active compact RN license
• Certifications:

  • AHA BLS
  • AHA ACLS
  • NIH Stroke Scale (NIHSS)
• Experience:

  • Minimum 2 years as an RN
  • At least 1 full year of step down unit experience
  • Completion of at least 1 prior travel assignment
  • Trauma Level II experience
• Charting: Recent EPIC experience required (checkoff class required)
• Skills:

  • Telemetry/12-lead EKG interpretation (travelers must pass telemetry tests)
  • Initiate and titrate drips (antiarrhythmics, Heparin, Insulin, etc.)
  • Post-surgical assessment and care
  • NIHSS, neuro assessments, dysphagia screening
• Preferred Skills:

  • Experience with stable home ventilators
  • Management of PleurX/pericardial/lumbar drains, VP shunts
  • Narcan drip administration
• Strong assessment and critical thinking skills required
• Ability to manage change well, resilient, and socially engaged

Additional Notes

• No local candidates within a 40-mile radius will be considered
• Orientation occurs bi-weekly
• GSA hours not guaranteed during orientation week; guaranteed set hours otherwise except when unit is closed for holidays