Step Down RN
Waco, Texas
Ascension Providence Hospital

Registered Nurse - Step Down

Location: Waco, Texas
Employment Type: Long-Term Assignment (LTA)
Contract Length: 13 weeks
Shift: 06:45 AM – 07:15 PM

Job Description / Clinical Experience Required

• Minimum 2 years of RN Step Down experience (highest required years of experience)
• Experience with:

  • High Flow Nasal Cannula (HFNC)
  • BiPAP
  • Stable Glucose Tolerance Test (GTT) management
  • Post-operative care for CABG, AVR, MVR (Post-op day 1)
  • Cardiovascular and vascular cases including AAA repair, lobectomy, carotid endarterectomy (CEA)
  • Cardiac events: NSTEMI, STEMI, Acute Coronary Syndrome (ACS)
  • Pacemaker management
  • Sepsis, gastrointestinal bleeding (GIB), post diabetic ketoacidosis (DKA)
  • Respiratory failure and tracheostomy care

Required Qualifications

• Valid RN license in Texas
• Cardiac Stepdown (2 years of experience)
• Cardiac 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
• HFNC (High-Flow Nasal Cannula) experience
• BiPAP experience
• Stable GTT (gastric tube) management
• Post-operative day #1 CABG/AVR/MVR care
• Cardiovascular and vascular experience
• AAA (abdominal aortic aneurysm) repair experience
• Lobectomy experience
• CEA (carotid endarterectomy) experience
• NSTEMI (non-ST elevation myocardial infarction) experience
• STEMI (ST elevation myocardial infarction) experience

Onboarding Requirements

• Signed assignment agreement prior to start
• Completion of onboarding modules including:

  • Nursing contingent worker education attestation (6 hours pre-hire)
  • Onsite nursing contract worker onboarding
  • Nova StatStrip pre-hire modules
• Completion of color vision test prior to start, updated every 3 years
• Confirmation of assignment documentation upon initial assignment and extensions

Additional Information

• Optional: Unit-specific checklist and badge photo (forward-facing headshot with white or blue background, no filters)
• Post-assignment hiring manager evaluation is optional
• Prior travel experience is not explicitly required for this position

This position requires a highly skilled RN with step down unit experience and competency in cardiovascular, respiratory, and critical care post-operative management. The role involves long shifts and a 13-week commitment in Texas.