Stepdown/Med-Surg RN
Morgantown, West Virginia
Ruby Memorial Hospital

Job Opportunity: 10E Stepdown Nurse

Location: Morgantown, West Virginia
Contract Length: 13 weeks

Unit Information

• Unit Type: Stepdown/MedSurg (Flex unit serving both floor and step-down patients)
• Beds: 29-bed unit (opening Q1 2026)
• Nurse:Patient Ratios:

  • Stepdown: 3:1
  • Floor: 6:1
• Patient Population: Diverse, primarily medical diagnoses

Required Certifications

• ACLS (AHA)
• BLS (AHA)

Experience Requirements

• Open to new and experienced nurses
• Must be able to manage:

  • 6 patients on med-surg floor
  • 3 patients on stepdown unit
• Prior travel experience: Not specified (assumed not required)

Clinical Skills & Responsibilities

• RNs will titrate drips with written orders
• Common drips include: Heparin, insulin, anti-hypertensives, antiarrhythmics, phenobarbital, ketamine, morphine/dilaudid/fentanyl PCAs, TPN
• Use of respiratory equipment: CPAP, BiPAP on floor and stepdown; HiFlow and vents in stepdown (vent settings adjusted by ICU)
• Telemetry: Central monitoring available; RNs not required to read their own strips

Staffing & Support

• Charge RNs and House Supervisors available 24/7
• Charge RNs may take patient assignments initially but goal is to have a free charge RN
• Nurse Aids (Clinical Associates) present with goal ratio of 1:10 (3 CAs at all times)

Scheduling & Work Conditions

• Shift Length: 12-hour shifts
• Scheduling: Block scheduling not guaranteed but requests accommodated when possible
• Weekend Requirement: Positions posted as weekend shifts
• Holiday Requirement: Expect to work about half of recognized holidays
• No call or standby requirement
• Floating: Nurses expected to float to other floor/stepdown units as needed
• Dress Code: Royal blue and white scrubs

Orientation

• Unit-specific orientation available
• Dayshift orientation: 7:00 AM - 7:30 PM, every other weekend

This position is suitable for nurses comfortable with a stepdown/med-surg environment, managing multiple patients, titrating drips, and working in a newly opening unit with a diverse patient population.