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
• Stepdown (2 years of experience)
• Stepdown experience within the last year
• BLS issued by American Heart Association
• ACLS issued by American Heart Association
• NIHSS
• Associate of Science in Nursing / Associate Degree in Nursing
• Driver's License

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.