Stepdown RN
Morgantown, West Virginia
Ruby Memorial Hospital

RN Stepdown - Nights

Location and Assignment

• Location: Morgantown, West Virginia
• Unit: 8 Southeast (Stepdown), 32 beds
• Contract length: 13 weeks
• Shift: Nights, 7p-7p, 12 hours per day, 36 hours per week
• Scrub color: Royal Blue

Patient Population and Clinical Scope

• Common diagnoses: Post-surgical thoracic and medicine patients
• Ratios: Stepdown assignments are 1:3. Combo assignments are 1:4 (2 stepdown and 2 floor patients, or 3 stepdown and 1 floor).
• Titratable and set-rate drips: Cardizem, Amiodarone, Dopamine, Nitro, Esmolol, Heparin, and Lasix. No vasopressors.
• Respiratory equipment: No ventilators. Patients may be on BiPAP and tracheostomies.
• Titration: RNs titrate drips with specific parameters, with orders placed by the MD.
• Monitoring: Each unit has a centralized monitor at the nurses' station and monitors in patient rooms. Centralized telemetry interprets and places EKG strips into patient charts. RNs interpret and chart the patient rhythm with their assessment every 4 hours, or more often with medication titration.
• Support staff: 1 charge nurse and 3 house supervisors in-house. 3-4 CNAs per shift.

Required Qualifications

• BLS and ACLS certifications
• Strong MedSurg stepdown experience
• Ability to titrate drips and read strips

Schedule and Requirements

• Weekends: 3 weekend shifts in a 4-week schedule (Sat, Sun, Sat)
• Holidays: Travelers may be required to work holidays if needed
• Call or standby: None
• Floating: Very rare
• Orientation: 3 shifts of unit orientation
• COVID-19 vaccine: Required. Fully vaccinated means 2 doses of Moderna or Pfizer, or 1 dose of J&J. Medical or religious exemptions require the appropriate exemption form, which should be submitted as soon as possible because it must be approved by a council.

Submission Requirements

• Only 1 position at a time across the entire health 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
• Teams must be submitted together in 1 email
• Maximum of 2 candidates per opening. If the position is at max, the submission is held if a spot opens.
• Submissions must include an unexpired copy of the candidate's driver's license