Cardiac Step-Down RN
Nashville, Tennessee
Saint Thomas West Hospital

Job Opportunity: RN Cardiac Stepdown

Location: Nashville, Tennessee
Employment Type: Long-Term Assignment (13 weeks)
Shift: 06:45 AM – 07:15 PM

Job Description

• Provide nursing care on a Progressive Care Unit (PCU) specializing in post-cardiac surgery patients.
• Work in a step-down unit caring for patients recovering from cardiac surgery.

Required Qualifications

• Valid Registered Nurse (RN) license in Tennessee.
• Minimum of 1 year of Cardiac Stepdown experience, with experience within the last year.
• Basic Life Support (BLS) Certification issued by the American Heart Association.
• Advanced Cardiac Life Support (ACLS) Certification.
• NIH Stroke Scale (NIHSS) certification.
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN).

Required Credentials and Documentation

• Current RN license with primary source verification within 30 days prior to assignment start.
• Nursys verification within 30 days prior to start.
• Professional resume/profile.
• Two professional references completed prior to first assignment.
• Driver’s license or state ID (valid, unexpired, matching address requirements).
• Criminal background check including Social Security Trace, OIG Search, National Sex Offender Registry, and other required screenings within 90 days of assignment start.
• Employment verification for the past seven years.
• Education verification relevant to clinical work within 90 days of start.
• Signed assignment agreement and confirmation of assignment documentation.
• Health and immunization documentation including:

  • MMR (two vaccines or positive titer, no declinations accepted).
  • Varicella (two vaccines, serological evidence, or verified history; no declinations accepted).
  • Tdap (valid within 10 years, no declinations accepted).
  • Hepatitis B vaccination series completion or signed declination.
  • Influenza vaccine (optional; if declined during flu season, mask required).
  • 2-step PPD or IGRA testing for TB with required follow-up documentation.
  • Fit test for respiratory protection (preferred prior to start, can be completed onsite).
  • Health statement or physical exam prior to first assignment, updated annually.
• Drug screening: 12-panel drug test within 30 days prior to start, updated annually.
• Completion of unit-specific and core competency checklists including:

  • Ascension Core Competencies (HIPAA, Joint Commission, OSHA, etc.) with minimum 80% passing score.
  • Ascension EKG Exam with minimum 80% passing score.
  • Ascension Skills Checklist updated annually for specialty.
  • Cerner test-out and training checklist with signed attestation.
• Completion of onboarding education attestations and pre-hire modules.
• Forward-facing badge photo with white or blue background (no alterations).

Additional Information

• Optional: Unit-specific checklist to be uploaded by unit leader within one week of start.
• Background checks and verifications must be updated annually or if there is a break in service longer than 90 days.
• Drug screening and education verifications must be updated annually or after a break in service longer than 90 days.

This position requires a motivated RN with cardiac step-down experience, appropriate certifications, and the ability to meet comprehensive credentialing and onboarding requirements.