Stepdown RN
Kalamazoo, Michigan
Bronson Methodist Hospital

Registered Nurse - Step Down (Night Shift)

Location: Kalamazoo, Michigan Contract Length: 13 weeks, with an offer of up to 26 weeks (preference noted) Shift: Night, 3x12 hours (19:00-7:30), 12 hours per day, 36 hours per week

Unit and Patient Care

• Based in GMU, a step down unit caring for general medicine and oncology step down patients
• Skills required: administering chemotherapy via IV and starting IVs
• Equipment: Welch Allyn vital sign towers and Sigma IV pumps
• Nurse-to-patient ratio: 1:4-6
• Support staff are provided if ratios flex higher. The charge RN is not typically in a patient assignment. Chemo admits decrease assignment ratios.
• Floating: other med surg areas, including AU and ER, to care for med surg patients

Schedule

• Call: None
• Weekends: every other weekend. Weekends are assigned by the manager or scheduler. Remaining days can be requested through self-scheduling.
• Keep holiday time off requests to a minimum.
• Must be available for the first two weeks of the assignment.
• Time off requests after the offer must be discussed with the on-site manager.

Required Qualifications

• Valid RN license in Michigan
• Associate of Science in Nursing (ASN) / Associate Degree in Nursing (ADN)
• Stepdown experience (2 years of experience)
• Stepdown experience within the last year
• BLS issued by the American Heart Association (AHA)
• ONS or ONCC certification
• NIH Stroke Scale (NIHSS) certification
• IV insertion skills
• Administering chemotherapy via IV

Health and Compliance

• Physical exam completed within 1 year of start
• TB: 1 negative PPD, Quantiferon, or T-Spot within 30 days of start, regardless of past positive history. TB questionnaire updated annually.
• Measles, mumps, rubella, and varicella: 2 vaccines or a positive titer. Historical immunizations are accepted if from a state database or physician's office. Exemptions are not accepted.
• Tdap: proof of 1 prior dose
• Hepatitis B: titer, series, or facility declination
• Drug screen: 10-panel including marijuana/THC within 30 days of start. Instant/rapid screens are accepted if they are a 10-panel that includes marijuana.
• Influenza vaccine: required for candidates starting after 11/1, or an approved medical or spiritual exemption on file. Proof is due by 12/1. Flu season ends 3/31.
• Fit test required, completed on-site before start or on the first day. The candidate schedules the appointment and adds the date, time, and location to the notes.

Background and Credentials

• Driver's license or state ID (government-issued photo ID)
• E-Verify required for traveler contracts. I-9 and E-Verify attestation are required for APN/subcontractor travelers.
• Proof of name change, if the name on documents differs
• Criminal background check within 45 days of start, with a lifetime search, no exceptions. Annual background checks are required.
• EPLS/GSA/SAM and HHS/OIG checks, completed monthly
• Michigan RN license verified through primary source online verification
• Review of the Code of Conduct before start, with a signed acknowledgment
• Review of the Appearance Standards Policy before start