Step-Down RN
Waco, Texas
Ascension Providence Hospital

Registered Nurse - Step Down

Location: Waco, Texas
Employment Type: Long-Term Assignment (13 weeks)
Shift: 08:45 AM – 07:15 PM

Job Description / Clinical Experience Required

• Minimum 3 years of RN experience in Step Down or similar acute care settings.
• Clinical skills and experience with:

  • High Flow Nasal Cannula (HFNC)
  • BiPAP
  • Stable glucose tolerance testing (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 management
  • Gastrointestinal bleeding (GIB)
  • Post diabetic ketoacidosis (DKA)
  • Respiratory failure
  • 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)
• Clinical experience with High Flow Nasal Cannula (HFNC) and BiPAP
• Post-operative care experience on post-op day 1 for CABG, AVR, and MVR
• Experience with cardiovascular and vascular cases, including AAA repair, lobectomy, carotid endarterectomy (CEA), and vascular surgery
• Experience managing NSTEMI and STEMI patients
• Pacemaker care experience
• Sepsis management experience
• Experience with gastrointestinal bleeding (GIB)
• Post diabetic ketoacidosis (DKA) care experience
• Respiratory failure management experience
• Tracheostomy care experience

Additional Notes

• Prior travel experience is not explicitly required.
• Onboarding includes completion of pre-hire modules and onsite orientation.
• Optional items include badge photo and unit-specific checklists.
• Post-assignment evaluations and exit surveys may be requested but are optional.

This position is ideal for experienced Step Down RNs with strong cardiovascular and acute care skills seeking a 13-week long-term assignment in Texas.