Stepdown RN
Morgantown, West Virginia
Ruby Memorial Hospital

RN - Neuro Stepdown & EMU

Location: Morgantown, West Virginia Contract Length: 13 weeks Shift: Nights, 12-hour shifts (36 hours/week) Unit: 10 East (Neuro Stepdown & EMU, Epilepsy Monitoring Unit) Beds: 31 total (25 Stepdown, 6 EMU)

Required Qualifications

• BLS certification
• NIHSS certification
• Stepdown-qualified RN
• Strong overall neuro experience
• NIHSS proficiency at time of submission
• History of caring for stroke patients and implementing NIHSS
• Fully COVID-19 vaccinated, or an approved medical or religious exemption (exemption forms must be submitted as soon as possible, as they require council approval)

Preferred Qualifications

• ACLS certification
• Experience with EVDs (perm staff will likely be assigned these patients)

Patient Population

• Higher-acuity neuroscience patients
• EVDs, TPA (patients within 24 hours of TPA are managed by perm staff only), strokes, EMU patients, seizures, craniotomies

Nurse Ratios and Staffing

• Stepdown ratio: 1:3
• EMU ratio: 1:5-6
• Nurse aides: 4 per shift, ratio 1:8-9
• Charge nurse available 24/7
• Respiratory therapy available 24/7
• RNs are not required to have vent experience. Floor vents are usually on set settings, managed by RT and physicians. Changes are referred back to the ICU.
• Tele is available on this unit. RNs are not required to read strips; monitor techs are not stated.

Medications and Drips

• Titration is done only under physician orders in stepdown. Some protocols allow titration, with education provided.
• Common titratable or set-rate drips: amiodarone, Cardizem, nitro, dopamine, Nipride, ketamine, Lasix, Bumex, insulin

Schedule

• Nights: 12-hour shifts, 7p-7:30a
• Three shifts in a row may be allowed but are not guaranteed; travelers need to be flexible
• Weekends: every other weekend or 2 weekend shifts per schedule
• Holidays: travelers are expected to work the holiday rotation
• On-call or standby requirement: unknown
• Orientation: 2 shifts on the unit, plus 12-hour nights, weekends, and holidays as scheduled

Floating

• Possibly to 7E, 7W, 7NE, or 10W

Submission Requirements

• Candidates may submit to only 1 position at a time across the system
• Driver's license address must be more than 50 miles from the facility
• Previous permanent candidates must have been gone for 2 years
• Previous travelers who worked there for 1 full year must have been gone for 2 years
• Travel teams must be submitted together in one email
• Maximum of 2 candidates per opening; if the position is full, submission is held until a spot opens
• Any license hits must be disclosed at time of submission
• Individual unit requirements listed in Pulse apply

Other Details

• Scrub color: Royal Blue