Step-Down Registered Nurse
Kalamazoo, Michigan
Bronson Methodist Hospital

Job Opportunity: Registered Nurse – Step Down Unit

Location: Kalamazoo, Michigan
Employment Type: Travel/Contract
Contract Length: 13 weeks

Unit Description

• Step down unit caring for general medical and oncology stepdown patients (GMU)
• Nurse to patient ratio: 1:4-6 (flexible with support staff and chemo admits)
• Floating to other med-surg areas including Acute Unit (AU) and Emergency Room (ER) to care for med-surg patients
• No call required
• Weekend work: every other weekend
• Scheduling: Weekends assigned by manager; other days self-scheduled
• Block scheduling may be accommodated upon request
• Must be available for the first two weeks of the assignment

Required Experience & Skills

• Minimum 2 years of PCU/Stepdown nursing experience
• Skills: Administering chemotherapy via IV, starting IVs
• Experience with equipment: Welch Allyn Vital Sign Towers, Sigma IV Pumps
• Documentation experience with EPIC electronic health record system

Required Certifications & Licenses

• Michigan RN License
• BLS (AHA)
• NIH Stroke Certification
• ONCC or ONS certification (must be in hand before start)

Additional Certifications (as applicable)

• ACLS (Advanced Cardiac Life Support)
• PALS (Pediatric Advanced Life Support) – if working with pediatrics or ED
• NRP (Neonatal Resuscitation Program) – if working with pediatrics
• TNCC (Trauma Nursing Core Course) – required for ED
• CPI (Crisis Prevention Institute) – as applicable
• EFM (Electronic Fetal Monitoring) – as applicable
• ENPC (Emergency Nursing Pediatric Course) – as applicable

Scheduling & Work Environment

• Floating to other med-surg units including AU and ER
• Weekend rotation every other weekend
• Charge RN typically not assigned patients
• Chemo admits reduce patient assignment ratios

Compliance & Documentation Requirements

• Criminal background check within 45 days of start, including lifetime search back to age 18
• Monthly EPLS/GSA/SAM and HHS/OIG checks
• Michigan LARA fingerprinting required within 45 days of start for certain positions
• Education verification (copy of highest degree or diploma)
• Physical exam within 1 year of start
• Drug testing: 10-panel including Marijuana/THC within 30 days of start
• Immunizations and health documents required:

  • Tetanus/Diphtheria/Tdap (proof of at least one prior Tdap vaccine)
  • Negative TB test or chest X-ray within 30 days of start
  • TB questionnaire updated annually
  • Rubeola (Measles), Mumps, Rubella: 2 vaccines or positive titer required
  • Hepatitis B: titer, series, or facility declination required
  • Varicella: 2 vaccines or positive titer required
  • Seasonal Flu vaccination or approved exemption required for candidates starting after November 1
• Fit mask testing required on-site (Honeywell DC365N95HC) for applicable roles
• Completion of medication/pharmacology competency exam within 1 year prior to start (passing score ≥80%)
• Competency exam in specialty within 1 year prior to start (passing score ≥80%)
• Skills checklist updated annually

References & Employment History

• One professional reference from a supervisor or manager required
• Complete employment application/resume with full 7 years work history, no gaps (dates must be MM/YYYY format)

Notes

• Must have ONCC or ONS certification in hand before start
• Prior travel experience is NOT explicitly required for this position
• Block scheduling requests should be communicated early
• Any requests for time off after offer must be discussed with onsite manager

This position offers an opportunity to work in a specialized step down unit with a focus on oncology and general medical patients, requiring strong clinical skills in chemotherapy administration and IV therapy, along with solid experience in PCU/Stepdown nursing.