Step Down RN
Roanoke, Virginia
Carilion Roanoke Memorial Hospital

Step Down RN

Overview

• Travel/contract role in Roanoke, Virginia
• Night shift: 4x12s, 6:45 PM–7:15 AM
• Contract length: 13 weeks
• Accepts first-time travelers
• Locals accepted

Required Qualifications

• Valid RN license in Virginia
• Stepdown (1 year of experience)
• Stepdown experience within the last year
• ACLS issued by American Heart Association
• BLS issued by American Heart Association
• NIHSS
• Associate of Science in Nursing / Associate Degree in Nursing
• Ventilator care for chronic tracheostomy patients
• Dysrhythmia interpretation and management
• Experience with Epic

Clinical Setting

• Stepdown role with surgical, bariatric, and trauma support
• Typical patient ratio: 1:5; staffing goal: 1:4
• May float within skillset
• Remote telemetry used on the unit

Key Skills

• Cardiac monitoring and dysrhythmia interpretation/management
• IV therapy, phlebotomy, blood product administration, and central/peripheral line care
• Medication administration, including cardiac drips without titration
• Respiratory support including nasal cannula, oxygen, CPAP, and BiPAP
• Rapid response and code team activation
• Isolation precautions

Scheduling Expectations

• Weekend requirement may be every other weekend or 6 weekend shifts in a 6-week block
• Must work one holiday per 13-week contract
• All requested time off and special scheduling requests must be submitted with the application

Compliance / Pre-Start Requirements

• Driver’s license or state ID required within 48 hours of signing
• E-Verify or attestation required
• Background check required
• Education verification of highest earned degree required
• Physical exam within 1 year of start
• Fit mask testing within 1 year of start
• Negative TB test or chest X-ray within 1 year of start
• TB questionnaire required
• Negative 10-panel drug screen within 30 days of start
• Two clinical references required
• Resume/application required
• Skills checklist required