Step-Down Registered Nurse
Auburn, New York
Auburn Community Hospital

Job Opportunity: Step-Down Registered Nurse

Location: Auburn, New York
Employment Type: Travel/Contract
Contract Length: 13 weeks

Job Description

Seeking a Step-Down Registered Nurse with 2+ years of recent Step-Down experience.

• Work Schedule: 36 hours guaranteed, every other week (EOW) & every other holiday (EOH)
• No blocked scheduling
• Patient Ratio: 1:4-5
• Medication system: Pyxis

Patient Population / Diagnoses

• Congestive Heart Failure (CHF)
• Post heart catheterization
• Post vascular procedures
• Respiratory failure (BiPAP / CPAP / Vapotherm)
• Cardiac dysrhythmias

Unit Procedures / Expectations

• Post-heart catheter care including TR bands
• Post-vascular procedure monitoring
• Frequent vital signs and neurovascular checks

Required Certifications

• BLS (Basic Life Support)
• ACLS (Advanced Cardiac Life Support)
• NIHSS (NIH Stroke Scale Certification)

Required Skills

Cardiac / Emergency

• Cardiac monitoring
• Dysrhythmia interpretation and management
• 12-lead EKG/ECG

IV / Vascular

• IV start and maintenance
• PICC line management
• Blood product administration

Medications

• Emergency medications
• Procedural sedation administration and monitoring
• Cardiac drip titration

Neurological

• CVA / Acute Stroke management

Respiratory / Thoracic

• BiPAP / CPAP management
• Assist with chest tube insertion/removal

Professional Skills

• Infection prevention
• Isolation precautions / PPE
• Phlebotomy

Required Qualifications

• Valid Registered Nurse license in New York
• Associate of Science in Nursing or Associate Degree in Nursing
• Minimum 2 years of Step-Down nursing experience, including experience within the last year
• Current BLS and ACLS certifications issued by the American Heart Association
• NIHSS certification
• Ability to independently interpret and manage dysrhythmias
• PICC line management experience
• Experience with procedural sedation administration and monitoring
• Proficiency in cardiac drip titration
• CVA / Acute Stroke management experience
• Ability to assist with chest tube insertion and removal

Additional Requirements

• Background check within 1 year covering all locations lived/worked/schooled in past 7 years
• EPLS/GSA/SAM and HHS/OIG checks prior to start
• Physical exam completed within 12 months prior to start, signed by a licensed provider
• Fit mask test within 12 months, updated annually
• Immunizations and health screenings including:

  • Tetanus/Diphtheria/Tdap (within last 10 years or declination)
  • Negative TB test or chest X-ray as applicable
  • Measles, Mumps, Rubella immunity verification
  • Hepatitis B series, titer, or declination
  • Varicella immunity or vaccination
  • Seasonal flu vaccination or declination (during flu season)
  • COVID vaccine records or declination
• 9-panel drug screen within 30 days of start
• Completion of facility-specific documents including code of conduct, patient abuse reporting, confidentiality agreements, and orientation packet acknowledgements
• Competency exams including medication/pharmacology and telemetry assessments
• Two professional references within 3 years of hire
• Skills checklist verification

Notes

• Local candidates within 50 miles are accepted.
• Telemetry competency testing includes a minimum 80% score on a cardiac rhythm interpretation assessment on the first day of orientation, with remediation if needed.
• Nurses are responsible for independently measuring and interpreting telemetry strips as no telemetry technicians are employed.

This position is ideal for experienced Step-Down RNs comfortable with cardiac and neurological patient care, telemetry monitoring, and post-procedural nursing care in a fast-paced environment.