Step-Down Telemetry RN
Auburn, New York
Auburn Community Hospital

Job Opportunity: Step-Down Registered Nurse (RN)

Location: Auburn, New York
Employment Type: Travel/Contract
Shift: Night (3 shifts per week, 12 hours each; 7:00 PM – 7:30 AM)
Guaranteed Hours: 36 hours per week
Contract Length: 13 weeks

Unit & Patient Population

• Step-Down unit with patient ratio approximately 1:4-5
• Common diagnoses:

  • Congestive Heart Failure (CHF)
  • Post heart catheterization
  • Post vascular procedures
  • Respiratory failure requiring BiPAP, CPAP, or Vapotherm
  • Cardiac dysrhythmias

Clinical Responsibilities & Procedures

• Post-heart catheterization care including TR band management
• Monitoring after vascular procedures
• Frequent vital signs and neurovascular checks
• Cardiac monitoring and dysrhythmia interpretation/management
• 12-lead EKG/ECG interpretation
• IV therapy including IV starts, PICC line management, and blood product administration
• Administration and monitoring of emergency medications and procedural sedation
• Cardiac drip titration
• Management of respiratory support devices (BiPAP/CPAP)
• Assistance with chest tube insertion and removal
• Stroke (CVA) and acute stroke management

Required Certifications

• Basic Life Support (BLS) – AHA
• Advanced Cardiac Life Support (ACLS) – AHA
• NIH Stroke Scale (NIHSS) certification

Requirements/Qualifications

• Valid Registered Nurse (RN) license in New York State
• Minimum 2 years of Step-Down nursing experience, with experience within the last year
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
• Current Basic Life Support (BLS) certification issued by the American Heart Association
• Advanced Cardiac Life Support (ACLS) certification
• NIH Stroke Scale (NIHSS) certification
• Proficient in cardiac monitoring, dysrhythmia interpretation, and dysrhythmia management
• Experience with PICC line management
• Skilled in administration and monitoring of procedural sedation
• Competent in cardiac drip titration
• Knowledge and experience in management of cerebrovascular accident (CVA) and acute stroke patients

Licensure

• Primary source license verification required prior to start

Background & Compliance Requirements

• Background check within 1 year covering all locations lived/worked/schooled in past 7 years (complete results required)
• EPLS/GSA/SAM and HHS/OIG checks prior to start
• Nursys verification prior to start
• Review and sign facility-specific documents including Code of Conduct, Patient Abuse Reporting, Confidentiality, Orientation Packet, and Automated Dispensing Cabinet Security (for Pyxis access)
• Annual Tuberculosis screening questionnaire and negative TB test or chest x-ray as applicable
• Physical exam within 12 months prior to start, signed by licensed provider confirming ability to perform job duties
• Fit mask test within 12 months, updated annually (specific approved mask types required)
• Immunizations/vaccinations or documented immunity required:

  • TDAP (within last 10 years or declination)
  • Measles, Mumps, Rubella (2 MMR vaccines or serologic titers)
  • Hepatitis B (series, titer, or declination)
  • Varicella (2 vaccines, positive titer, or documented history)
  • Seasonal flu vaccine or declination during flu season
  • COVID vaccine records or declination
• 9-panel drug screen within 30 days of start (instant/rapid accepted)

Additional Requirements

• Two professional references within 3 years of hire
• Skills checklist completion required
• New York State Nurse Aide Registry verification required
• New York State Medicaid Exclusion List check required

Notes

• Local candidates within 50 miles are accepted (with adjusted pay rate)
• Medication system used: Pyxis automated dispensing cabinet
• No blocked scheduling; every other weekend (EOW) and every other holiday (EOH) schedule

This position is ideal for experienced Step-Down RNs with strong cardiac and telemetry skills seeking a travel contract in New York.