RN Step Down
Waco, Texas
Ascension Providence Hospital

Registered Nurse - Step Down

Location: Waco, Texas
Employment Type: Long-Term Assignment (13 weeks)
Shift: 6:45 PM – 7:15 AM

Job Description / Clinical Experience Required

• Minimum 3 years of RN experience in Step Down or similar acute care settings
• Experience with:

  • High Flow Nasal Cannula (HFNC)
  • BiPAP
  • Stable glucose tolerance test (GTT) management
  • Post-operative care for CABG, AVR, MVR (post-op day 1)
  • Cardiovascular and vascular cases including AAA repair, lobectomy, carotid endarterectomy (CEA)
  • Management of NSTEMI, STEMI, acute coronary syndrome (ACS)
  • Pacemaker care
  • Sepsis, gastrointestinal bleeding (GIB), post diabetic ketoacidosis (DKA)
  • Respiratory failure and tracheostomy care

Required Qualifications

• Valid RN license in Texas
• Minimum 3 years of Step Down nursing experience, including experience within the last year
• BLS certification issued by the American Heart Association
• ACLS certification
• NIH Stroke Scale (NIHSS) certification
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
• Experience with High Flow Nasal Cannula (HFNC)
• Experience with BiPAP
• Experience managing stable glucose tolerance tests (GTT)

Additional Notes

• Specialty competency exams and certifications must be maintained and updated as required during the assignment
• Prior travel experience is not explicitly required for this position
• All documentation and verifications must be current and compliant with assignment start timelines
• Optional: Badge photo and post-assignment hiring manager evaluation

This position is suited for experienced Step Down RNs with strong cardiovascular and critical care skills, ready for a night shift long-term assignment in Texas.