Stepdown Registered Nurse
Charleston, South Carolina
Carolinas Hospital System

Job Opportunity: Registered Nurse (Stepdown RN)

Location: Florence, South Carolina
Employment Type: Travel/Contract
Contract Length: 13 weeks

Position Details

• Specialty: Stepdown Registered Nurse
• Shift: 3x12 hour shifts, Nights (7 PM - 7 AM)
• Holiday Rotation: Yes
• Patient Ratio: 1:4
• Weekend Requirement: Every other weekend
• On-call: No
• Floating: Yes, must float within scope to like units/sister facilities

Experience & Licensure Requirements

• Years of Experience Required: 1 year in specialty
• Prior Travel Experience: Required (First-time travelers NOT accepted)
• Licenses: South Carolina RN license or Compact license must be active prior to start
• Certifications Required:

  • ACLS (AHA or ARC only)
  • BLS (AHA or ARC only)
• Preferred Certifications: NIH Stroke Certification (NIHSS)

Scheduling & Work Conditions

• Block Schedule: Approval can be requested but not guaranteed
• Local Radius: 60 miles
• Locals Accepted: No
• Guaranteed Hours: Facility may call off 1 shift per 2 weeks
• Hurricane Season: Travelers may be assigned to emergency response teams during June-November (peak in August-September)

Facility & Systems

• Charting System: Epic
• Scrub Color: Royal Blue
• Parking: Free

Required Documentation & Compliance

• Background Checks:

  • Annual background check covering all locations lived/worked in past 7 years
  • Must include SSN Trace, SC Statewide, National Criminal, Sex Offender Registry, FACIS 3, International searches
  • EPLS/GSA/SAM and HHS/OIG checks required within 30 days of start and updated for renewals
• Education Verification: Not required for this facility, but diploma/transcripts preferred as placeholder if needed
• Licensure Verification: Primary source verification required; SC RN license processing times vary (3-5 weeks for permanent, 24-48 hours for walk-through/temp license if eligible)
• NURSYS Verification: Required for all RNs
• References: Proof of 2 clinical references or hospital evaluations
• Performance Evaluation: Must be dated within 12 months of start
• Work History Verification: Not required for this facility

Health & Safety Requirements

• Physical Exam: Initial and annual update required, attesting ability to meet physical demands
• Immunizations & Titers:

  • Tdap within 10 years or declination form
  • Negative TB test (T-spot or Q-Gold within 90 days) or chest x-ray if positive
  • Rubeola (Measles), Mumps, Rubella: Positive titer or 2 vaccines; boosters if low titer
  • Hepatitis B: Titer, vaccine series, or declination
  • Varicella: Positive titer or 2 vaccines; boosters if low titer
• Drug Testing: 10-panel drug screen within 90 days of start (no instant tests)
• Flu Vaccination: Required during flu season (Aug 1 - Apr 30); medical/religious exemptions accepted but no declinations
• COVID-19 Vaccination: Not required but highly preferred; vaccination records must be uploaded or declination form completed
• Respirator Clearance: Annual medical clearance required for all patient-facing travelers (RespSafety virtual questionnaire)

Certifications & Competencies

• Additional Certifications (as applicable):

  • PALS (Pediatric Advanced Life Support)
  • NRP (Neonatal Resuscitation Program)
  • TNCC (Trauma Nursing Core Course)
  • EFM (Electronic Fetal Monitoring)
  • IV Therapy Certification (for select LPNs)
• Competency Exams: Medication test/pharmacology and other competency exams as required

Facility-Specific Requirements

• Orientation:

  • Completion of OurDay modules prior to start (approx. 4 hours for Florence)
  • First Day Instructions (FDI) provided after clearance
• Photo for Badge: Passport-style photo required
• Acknowledgments & Agreements: Must sign assignment acknowledgment, code of conduct, confidentiality agreements, HR policy manual, systems user agreement, user access request, HIPAA confidentiality agreement
• Religious Exemption: Facility-specific COVID exemption form required if requesting religious exemption
• Radiation Badge: Required only for OR, Cath Lab, EP Lab, and Radiology travelers (not required for this Stepdown RN role)

Notes

• Candidates must renew certifications if expiring within 30 days of start or have scheduled renewal courses.
• Floating may be required within scope to meet facility needs.
• No locals accepted for this travel position.
• Travelers should be prepared for possible emergency response duties during hurricane season.

This position is ideal for experienced Stepdown RNs with prior travel experience who hold the necessary South Carolina licensure and certifications, and who are comfortable working night shifts with a 1:4 patient ratio in a travel contract role.