Neuro Stepdown & Epilepsy Monitoring RN
Morgantown, West Virginia
Ruby Memorial Hospital

Registered Nurse (Neuro Stepdown & Epilepsy Monitoring Unit)

Location: Morgantown, West Virginia
Contract Length: 13 weeks
Shift: Nights (7:00 PM – 7:30 AM)
Hours per Week: 36 hours (3 shifts/week, 12 hours each)

Unit Overview

• Neuro Stepdown & Epilepsy Monitoring Unit (EMU) with 31 total beds (25 Stepdown, 6 EMU)
• Nurse-to-patient ratio:

  • Stepdown: 1:3
  • EMU floor: 1:5-6
• Higher acuity neuroscience patients including stroke, seizures, craniotomies, and patients with external ventricular drains (EVDs)
• Charge nurse available 24/7
• Nurse aides present with a ratio of 1:8-9 (4 aides per shift)
• Respiratory therapists available 24/7; RNs are not required to have ventilator experience
• Telemetry monitoring present; RNs do not have to interpret strips

Required Qualifications

• Current RN license appropriate for West Virginia
• BLS and NIH Stroke Scale (NIHSS) certification required at time of submission
• ACLS certification preferred
• Strong neuro nursing experience with history of caring for stroke patients and implementing NIHSS
• EPIC electronic medical record experience required
• Must be Stepdown qualified RN

Clinical Skills & Responsibilities

• Care for higher acuity neuroscience patients including stroke, seizures, craniotomy, and EMU patients
• Manage patients post-TPA (24 hours post-TPA patients managed by permanent staff)
• Titration of drips generally by physician orders; some protocols may allow RN titration with education
• Common drips include: Amiodarone, Cardizem, Nitro, Dopamine, Nipride, Ketamine, Lasix, Bumex, Insulin
• Possible floating to other units (7E, 7W, 7NE, or 10W)

Scheduling & Work Requirements

• Night shifts, typically 3 shifts in a row allowed but not guaranteed
• Weekend requirement: Every other weekend or 2 weekend shifts per schedule
• Holiday work required as part of rotation
• Unit-specific orientation: 2 shifts on unit (12-hour night shifts, weekends, holidays as scheduled)
• Dress code: Royal Blue scrubs

Additional Requirements & Notes

• Fully COVID-19 vaccinated (2 doses Moderna/Pfizer or 1 dose J&J) or approved medical/religious exemption required
• Driver’s license address must be outside a 50-mile radius from the facility
• Previous permanent candidates must have been gone for 2 years before reapplying
• Previous travelers must have been gone for 2 years after 1 full year of travel at this facility
• Only one submission allowed at a time across the system; travel teams must be submitted together
• Disclosure of any license issues required at time of submission

Experience Requirements

• Neuro specialty experience: Strong neuro nursing background required (including stroke care and NIHSS)
• Prior travel experience: Not explicitly required