Travel Step Down RN
Waco, Texas
TXWAC Ascension Providence Hospital

Job Opportunity: RN Step Down - Travel Assignment

Location: Waco, Texas
Employment Type: Travel

Job Description

• Minimum 3 years of RN Step Down experience required
• Clinical skills and experience with:

  • HFNC (High Flow Nasal Cannula)
  • BIPAP
  • Stable GTT (Glucose Tolerance Test) management
  • Post-op day 1 care for CABG, AVR, MVR
  • Cardiovascular and vascular experience including AAA repair, lobectomy, CEA
  • Management of NSTEMI, STEMI, ACS
  • Pacers, sepsis, gastrointestinal bleeding (GIB), post DKA, respiratory failure, tracheostomies

Contract Length

• 13 weeks

Required Qualifications

Licenses & Certifications

• Current Registered Nurse (RN) license in Texas with primary source verification within 30 days prior to start
• BLS (Basic Life Support) - Must be AHA certified
• ACLS (Advanced Cardiovascular Life Support) - Must be AHA certified

Exams & Competencies

• Specialty competency exam in RN Step Down area (minimum 80% passing score, 2 attempts allowed)
• Ascension Core Competencies including HIPAA, Joint Commission, NPSG, OSHA topics (updated every 3 years)
• NIH Certification (updated yearly or every 2 years depending on group)
• Ascension EKG Exam (passing score of at least 80%, updated every 3 years)
• Ascension Skills Checklist (clinical skills checklist, updated annually)
• Ascension Epic Test-Out (required for Epic system proficiency)

Health & Immunizations

• MMR: Documented proof of two vaccines or positive IGG titer (no declinations accepted)
• Hepatitis B: Documentation of vaccination series completion or signed declination
• Influenza Vaccine: Required during flu season (Oct 1 - Mar 31), exemptions accepted with mask requirement
• Varicella: Proof of immunity or two doses of vaccine (no declinations accepted)
• Tdap: Valid within last 10 years (no declinations accepted)
• TB Screening: Positive IGRA or PPD results, negative chest X-ray within 1 year, and annual TB questionnaire
• Fit Test: Required annually (preferred prior to start)

Background & Verification

• Criminal background check including Social Security Trace, OIG Search, National Sex Offender Registry, and others within 30 days of assignment start
• Employment verification for past 7 years
• Education verification relevant to clinical work within 90 days of start
• Drug screening: 12 panel urine drug screen within 30 days prior to start, updated annually

Other Requirements

• Valid Driver’s License or State ID (must match address on file and comply with compact license rules)
• Health statement or physical exam prior to first assignment, updated annually
• Completion of onboarding requirements including Ascension-specific education attestations and contract worker onboarding

Prior Travel Experience

• No explicit prior travel experience required

This position is ideal for experienced RN Step Down nurses with strong cardiovascular and critical care skills seeking a travel assignment in Texas.