Job info

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
Minimum 2 years of Cardiac Stepdown experience, including experience within the last year
Stepdown unit experience
Basic Life Support (BLS) issued by the American Heart Association
Advanced Cardiovascular Life Support (ACLS)
NIH Stroke Scale (NIHSS) certification
Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)

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.

Facility

Ascension Providence Hospital

3.9rating(42 reviews)

5.0rating

Anonymous

Labor and Delivery (RN)

Review of Ascension Providence Hospital on Nov 8, 2025

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Short Term Acute Care
510 beds

ADDRESS6901 Medical ParkwayWaco, TX 76712

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About Waco, TX

As a Travel Cardiac Stepdown Nurse in Waco, TX here's what you should know:

Cost of Living

Lower than the national average, making it an affordable place to live.
Wages generally match the cost of living.

Weather

Summer average highs of 95°F and lows of 73°F.
Winter average highs of 58°F and lows of 36°F.

Furnished Housing

Short term rentals are available and relatively easy to find, especially near medical facilities and universities.

Transportation

Car friendly city with minimal traffic congestion.
Limited public transportation options.

Demographics

Diverse population with a mix of age ranges.
Common health issues include allergies and asthma due to pollen.
Growing population of travel nurses.

Things to Do

Abundance of restaurants offering diverse cuisines.
Vibrant art and music scene with local galleries and live music venues.
Opportunities for outdoor activities including hiking, biking, and water sports.

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