Step-Down Unit Registered Nurse
Saint Louis, Missouri
Christian Hospital

Registered Nurse - Step Down Unit Nights

Location: Saint Louis, Missouri
Employment Type: Travel/Contract
Contract Length: 13 weeks

Unit & Shift Details

• Unit: Step Down Unit
• Shift: Nights
• Schedule: 3x12 or 4x12 hour shifts approved
• Patient Ratio: 1:4
• Weekend Requirement: 2 shifts every other weekend

  • Night shift weekends can be Fri/Sat or Sat/Sun depending on rotation
• Floating: Yes, within scope to lower acuity floors
• Block schedule: Not accommodated
• Locals accepted: No (local radius rule: 75 miles)
• Pending License accepted: Yes
• Return to Office (RTO) Restrictions: 7 days within 13-week contract
• Guaranteed Hours: 36 hours for 3-12s

Experience & Certification Requirements

• Minimum Experience: 2 years
• First-timers: Not accepted
• Certifications Required:

  • ACLS (AHA only)
  • BLS (AHA only)
  • NIH Stroke Certification (required for all nurses)
• Must have been at bedside within last 6 months
• Special Skills:

  • Titration of vasopressors, sedation medication, insulin drips
  • Management of trach vents, arterial lines, external pacemakers, chest tubes

Facility Highlights

• Type: Acute Care Hospital
• Total Staffed Beds: 233
• Charting System: EPIC
• Scrub Color: Navy
• Parking: Free

Compliance & Documentation Requirements

Background Checks

• Criminal background check within 6 months (7-year search including statewide and nationwide)
• EPLS/GSA/SAM and HHS/OIG checks quarterly
• Education verification of highest nursing degree required before start
• State-specific searches and registries as applicable (Missouri and Illinois)
• Fingerprinting required for Illinois long-term care or rehab float assignments

Licensure

• Primary source verification of Missouri RN license via NURSYS required
• Pending licenses accepted
• License action reviews and approvals as per facility standards

Competency Exams

• Medication/Pharmacology competency exam required
• Unit-specific competency exam required annually
• Oncology competency exam required if assigned to Med Surg-Oncology unit

Health & Immunization

• Physical exam within 1 year of start
• Fit mask testing (N95) required annually; onsite testing available if needed
• Tdap vaccine or declination required (expires every 10 years)
• Negative TB test or chest x-ray within required timeframes
• Measles, Mumps, Rubella, Varicella immunity or vaccination required (with no exemptions allowed in certain units)
• Drug testing within 1 year of start, must include specific panels and be valid throughout assignment
• Seasonal flu vaccination or approved exemption required during flu season

Facility-Specific Documents

• HIPAA Acknowledgement, Latex Allergy Questionnaire, Confidentiality Form, Regulatory Compliance Education (annual)
• Badge photo required (head and shoulders, white background, no obstructions)
• Hand hygiene, fingernail, and dress code policies must be reviewed and signed prior to start

Additional Notes

• Must provide two professional references (supervisors preferred)
• Employment application and unit-specific skills checklist required within 1 year of start
• Candidates must comply with all facility policies and complete required training prior to start

This position is ideal for experienced RNs with critical care skills looking for a travel contract in a well-established acute care hospital setting with a focus on step-down care and night shifts.